Angela Iskandar Anak-Agung-Gede, PA
NPI 1790912103ActiveIndividual· Physician Assistant, Medical· Chula Vista, CA
Physician Assistant, Medical (PA) in Chula Vista, California, licensed in CA, with an NPI issued in June 2009. Part D covered 110 prescriptions written in 2024, 95% of them generic.
Overview
| NPI | 1790912103 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Jun 12, 2009 |
| Last updated in NPPES | Sep 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 19998 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 110 · 110 30-day fills |
|---|---|
| Patients | 72 |
| Total drug cost | $2,283 |
| Generic share | 95% of claims |
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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