Demi Carlos, PA
NPI 1427454628ActiveIndividual· Physician Assistant· Loma Linda, CA
Physician Assistant (PA) with Faculty Physicians and Surgeons of Llusm, practicing in Loma Linda, California. Their prescriptions cost Medicare Part D more than their services did: $62,093 for 650 claims, against $1,222 paid for services in 2024.
Overview
| NPI | 1427454628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 14, 2014 |
| Last updated in NPPES | Sep 19, 2024 |
| Certified by provider | Sep 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 52154 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 27 across 2 procedure codes |
| Paid by Medicare | $1,222 |
Part D prescriptions in 2024
| Prescriptions (claims) | 650 · 1,182 30-day fills |
|---|---|
| Patients | 292 |
| Total drug cost | $62,093 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Faculty Physicians and Surgeons of LlusmLoma Linda, CA · 1,315 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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