Jordan Tyler G Javellana, PA-C
NPI 1679359665ActiveIndividual· Physician Assistant· Costa Mesa, CA
Physician Assistant (PA-C) with Hmts Inc, practicing in Costa Mesa, California. 80 Medicare patients in 2024, $7,834 paid; nearly all of their 89 Part D prescriptions were generic (94%). Lists Hoag Memorial Hospital Presbyterian as a hospital affiliation.
Overview
| NPI | 1679359665 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 5, 2023 |
| Last updated in NPPES | Sep 5, 2023 |
| Certified by provider | Sep 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA63252 | 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 | 80 |
|---|---|
| Services billed | 106 across 20 procedure codes |
| Paid by Medicare | $7,834 |
Part D prescriptions in 2024
| Prescriptions (claims) | 89 · 89 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $542.84 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Hmts IncIrvine, CA · 118 clinicians
Hospital affiliation
- Hoag Memorial Hospital PresbyterianNewport Beach, CA
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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