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Lora Slaveeva Kamenova

NPI 1831790450ActiveIndividual· Physician Assistant· Fullerton, CA

Physician Assistant with Southern California Permanente Medical Group, practicing in Fullerton, California. Their prescriptions cost Medicare Part D more than their services did: $22,618 for 1,038 claims, against $1,229 paid for services in 2024. Lists Kaiser Foundation Hospital, Riverside as a hospital affiliation.

Overview

NPI1831790450
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedNov 2, 2020
Last updated in NPPESOct 15, 2024
Certified by providerJan 9, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

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 patients18
Services billed31 across 12 procedure codes
Paid by Medicare$1,229

Part D prescriptions in 2024

Prescriptions (claims)1,038 · 1,184 30-day fills
Patients586
Total drug cost$22,618
Generic share90% of claims

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

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 Assistant providers in Fullerton

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