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Jennifer Kaori Fukasawa-Lara, PA-C

NPI 1477093714ActiveIndividual· Physician Assistant· Banning, CA

Physician Assistant (PA-C) with Carbon Health Medical Group of California PC, practicing in Banning, California. 262 Medicare patients in 2024, $26,385 paid; nearly all of their 348 Part D prescriptions were generic (95%).

Overview

NPI1477093714
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedMar 6, 2017
Last updated in NPPESNov 12, 2020
Certified by providerNov 12, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA54259CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients262
Services billed526 across 34 procedure codes
Paid by Medicare$26,385

Part D prescriptions in 2024

Prescriptions (claims)348 · 350 30-day fills
Patients259
Total drug cost$7,246
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Graduation year2016
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Banning

All 18 physician assistants in Banning · All physician assistants in California