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California Medical Board record
Licence G43301 · Current
Licensed to practise in California · since 2014 · expires 2026-09-30 · University of California San Francisco School of Medicine.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Medicaid work
$479,690 in 2024
Medicaid paid $479,690 for 12,831 billed services this clinician did in 2024, up to 201 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
Largest Medicaid services in 2024
Service
1,318
$103,340
Service
1,151
$59,955
Service
1,567
$58,020
Service
607
$54,360
Service
630
$41,580
Service
469
$26,858
Service
1,755
$26,490
Service
303
$20,294
Service
1,508
$18,024
Service
139
$16,541
Service
2,072
$15,652
Service
748
$8,966
Medicaid work by year
2024
12,831
19
201
$479,690
2023
16,479
16
208
$538,333
2022
17,917
16
230
$571,704
2021
16,811
15
217
$412,337
2020
11,866
13
216
$285,083
2019
20,579
15
283
$506,386
2018
22,411
15
314
$497,132
See the largest Medicaid services in earlier years
2023
Largest Medicaid services in 2023
Service
1,597
$123,575
Service
1,436
$74,222
Service
1,695
$63,679
Service
570
$50,670
Service
609
$40,233
Service
2,006
$30,263
Service
501
$28,743
Service
407
$27,283
Service
195
$23,205
Service
1,709
$20,448
Service
321
$17,527
Service
4,285
$17,410
2022
Largest Medicaid services in 2022
Service
1,627
$122,470
Service
2,363
$88,319
Service
1,587
$82,779
Service
500
$44,720
Service
630
$41,602
Service
598
$34,038
Service
2,086
$31,181
Service
382
$25,670
Service
178
$21,123
Service
1,749
$20,925
Service
4,489
$18,312
Service
295
$16,107
2021
Largest Medicaid services in 2021
Service
1,540
$69,289
Service
1,521
$45,563
Service
2,113
$45,452
Service
433
$38,750
Service
581
$38,346
Service
610
$34,957
Service
396
$26,527
Service
1,681
$20,085
Service
1,954
$20,073
Service
355
$19,328
Service
4,202
$17,162
Service
138
$16,422
2020
Largest Medicaid services in 2020
Service
1,074
$48,330
Service
637
$36,564
Service
1,615
$34,606
Service
1,066
$31,800
Service
378
$24,948
Service
252
$22,560
Service
313
$21,034
Service
1,322
$13,593
Service
1,129
$13,512
Service
2,887
$11,818
Service
201
$10,975
Service
820
$9,840
2019
Largest Medicaid services in 2019
Service
1,927
$86,715
Service
2,046
$61,073
Service
1,034
$59,294
Service
738
$48,692
Service
2,219
$47,894
Service
598
$40,085
Service
383
$34,210
Service
514
$28,064
Service
2,427
$25,974
Service
1,890
$22,572
Service
4,813
$19,670
Service
1,630
$19,551
2018
Largest Medicaid services in 2018
Service
2,358
$70,305
Service
1,067
$61,016
Service
1,956
$61,002
Service
1,091
$52,678
Service
2,259
$48,730
Service
647
$42,202
Service
584
$30,958
Service
2,814
$29,175
Service
456
$28,250
Service
2,221
$24,080
Service
5,046
$17,827
Service
1,454
$15,896
Drugs they prescribed that Part D paid
$188
Pharmacies billed $188 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
52 generic and 0 brand-name prescriptions · $188 in drug cost · 25 antibiotic prescriptions to 21 people.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
Largest Part D drug costs
Penicillin V
12
$46
$4
Ibuprofen
17
$41
$2
Amoxicillin
12
$39
$3
Year by year
Part D prescribing by year
2024
52
25
—None
0%
$188
2023
56
32
—None
0%
$294
2022
72
36
24% (17)
0%
$394
2021
90
47
19% (17)
0%
$466
2020
46
19
—None
0%
$220
2019
71
31
25% (18)
—None
$446
2018
47
22
30% (14)
0%
$282
2017
77
34
29% (22)
0%
$424
2016
65
36
28% (18)
0%
$351
2015
62
36
21% (13)
0%
$337
2014
45
24
—None
—None
$944
2013
25
16
—None
0%
$221
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 2 drugs
Part D drugs prescribed in 2023
Amoxicillin
27
$134
$5
Ibuprofen
15
$62
$4
2022: 3 drugs
Part D drugs prescribed in 2022
Amoxicillin
28
$136
$5
Acetaminophen-Codeine
15
$77
$5
Ibuprofen
13
$52
$4
2021: 3 drugs
Part D drugs prescribed in 2021
Penicillin V
19
$143
$8
Amoxicillin
25
$121
$5
Ibuprofen
22
$71
$3
2020: 2 drugs
Part D drugs prescribed in 2020
Penicillin V
13
$73
$6
Ibuprofen
14
$44
$3
2019: 4 drugs
Part D drugs prescribed in 2019
Amoxicillin
21
$143
$7
Penicillin V
12
$88
$7
Ibuprofen
17
$85
$5
Hydrocodone-Acetaminophen
14
$80
$6
2018: 2 drugs
Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen
13
$84
$6
Amoxicillin
12
$63
$5
2017: 4 drugs
Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen
20
$118
$6
Penicillin V
14
$100
$7
Amoxicillin
18
$88
$5
Ibuprofen
14
$47
$3
2016: 4 drugs
Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen
17
$110
$6
Amoxicillin
16
$79
$5
Penicillin V
12
$72
$6
Ibuprofen
15
$47
$3
2015: 3 drugs
Part D drugs prescribed in 2015
Penicillin V
14
$79
$6
Amoxicillin
16
$59
$4
Ibuprofen
13
$41
$3
2014: 1 drug
Part D drugs prescribed in 2014
Ibuprofen
12
$44
$4
Professional record
NPI
1336366418
Licence
CA 43301California G43301: Current · expires 2026-09-30
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 1223G0001X (1223G0001X)
Mailing address
3068 Story Rd, San Jose, CA, 95127
NPI first listed
2007-04-19
NPI last updated
2007-07-08
This is when the NPI record was last certified, not a medical board exam.