Skip to content

Gustavo Mario Roldan, PAC

NPI 1790720381ActiveIndividual· Physician Assistant· South Gate, CA

Physician Assistant (PAC) in South Gate, California, licensed in CA, with an NPI issued in June 2006. Part D covered 58 prescriptions written in 2024, 98% of them generic. Glaxosmithkline, LLC. reported $33.72 in payments in 2024, mostly food and beverage.

Overview

NPI1790720381
StatusActive
Entity typeIndividual
CredentialPAC
Sole proprietorNo
NPI issuedJun 18, 2006
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA17277CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)58 · 83 30-day fills
Patients22
Total drug cost$361.42
Generic share98% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$33.72 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Glaxosmithkline, LLC.$33.721

What the 2024 payments were for

  • Food and Beverage$33.72 · 1 payment

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

Other Physician Assistant providers in South Gate

All Physician Assistant providers in California →