Unknown Individual – Physician Assistant, NPI 1538433701
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
9041 MAGNOLIA AVE STE 206
RIVERSIDE, CA 925033956
Phone: (253) 576-3638
Type: Mailing
98-128 Aiea Heights Drive
Suite 703
Aiea, HI 96701
Phone: (808) 487-7938
Fax: (808) 487-8072
Type: Location
700 Garden View Ct Ste 100
Encinitas, CA 920242478
Phone: (607) 633-1000
Type: Location
6399 SAN IGNACIO AVE STE 120
SAN JOSE, CA 951191215
Phone: (408) 369-5620
Fax: (408) 904-7730
Type: Mailing
1934 VIA CTR STE B
VISTA, CA 920816056
Phone: (760) 295-2299
Fax: (760) 216-5300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Amgen Inc. ($54).
Total Amount
$105
General + Research + Ownership
Payments
5
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $54 |
| STRATA Skin Sciences, Inc. | $31 |
| ABBVIE INC. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
Reviews
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