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NPI 1689393118ActiveIndividual· Physician Assistant· San Jose, CA
Physician Assistant with North East Medical Services, practicing in San Jose, California. Their prescriptions cost Medicare Part D more than their services did: $47,785 for 891 claims, against $6,511 paid for services in 2024.
Overview
| NPI | 1689393118 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 26, 2022 |
| Last updated in NPPES | Oct 1, 2024 |
| Certified by provider | Oct 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 61493 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 93 |
|---|---|
| Services billed | 527 across 32 procedure codes |
| Paid by Medicare | $6,511 |
Part D prescriptions in 2024
| Prescriptions (claims) | 891 · 1,995 30-day fills |
|---|---|
| Patients | 243 |
| Total drug cost | $47,785 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- North East Medical ServicesSouth San Francisco, CA · 143 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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All 233 physician assistants in San Jose · All physician assistants in California