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NPI 1447091624ActiveIndividual· Physician Assistant· Fresno, CA
Physician Assistant in Fresno, California, licensed in CA, with an NPI issued in June 2024. Enrolled in Medicare as practitioner - physician assistant. Incyte Corporation was the largest of 6 companies reporting payments in 2025, $472.64 in all, mostly food and beverage.
Overview
| NPI | 1447091624 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 3, 2024 |
| Last updated in NPPES | Nov 24, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA67266 | 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) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
- 2025$472.64 · 10 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Incyte Corporation | $184.68 | 4 |
| Phathom Pharmaceuticals, Inc. | $125.00 | 1 |
| Arcutis Biotherapeutics, Inc. | $112.00 | 1 |
| Sun Pharmaceutical Industries Inc. | $30.51 | 1 |
| Abbvie Inc. | $14.49 | 1 |
What the 2025 payments were for
- Food and Beverage$472.64 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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