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California Medical Board record
Licence A56277 · Delinquent
Licence status: Delinquent · since 1996 · expires 2024-02-29 · Medical Academy, I. P. Pavlov Higher Medical Institute.
License renewal fee has not been paid. No practice is permitted.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Medicaid work
$13,956 in 2023
Medicaid paid $13,956 for 161 billed services this clinician did in 2023, up to 29 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 2023
Clinic visit/encounter, all-inclusive
67
$13,142
Short return visit (20+ min)
94
$813
Medicaid work by year
2023
161
2
29
$13,956
2022
423
8
45
$24,800
2021
4,755
3
116
$436,028
2020
5,698
12
142
$468,313
2019
5,138
13
139
$394,273
2018
7,464
13
199
$643,850
See the largest Medicaid services in earlier years
2022
Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive
119
$24,176
Short return visit (20+ min)
177
$624
TOBACCO NON-USER
38
$0
Medication list documented in medical record (COA)
12
$0
Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)
12
$0
WEIGHT RECORDED
13
$0
VITAL SIGNS RECORDED
13
$0
BODY MASS INDEX DOCD
39
$0
2021
Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive
1,850
$429,979
Short return visit
2,271
$4,601
Short return visit (20+ min)
634
$1,449
2020
Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive
2,119
$464,244
Short return visit
2,127
$3,337
Return visit (30+ min)
388
$471
Short return visit (20+ min)
446
$261
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy
99
$0
Glucose; blood, reagent strip
80
$0
Hemoglobin A1C level
30
$0
HEMOGLOBIN
113
$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
155
$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use
16
$0
Screening test, pure tone, air only
85
$0
Bilateral quantitative screening test of visual acuity
40
$0
2019
Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive
1,932
$386,358
Return visit (30+ min)
884
$4,208
Short return visit (20+ min)
910
$2,316
Short return visit
140
$1,390
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy
233
$2
Glucose; blood, reagent strip
194
$0
Hemoglobin A1C level
51
$0
HEMOGLOBIN
216
$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
251
$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use
32
$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use
47
$0
Screening test, pure tone, air only
164
$0
2018
Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive
3,461
$624,653
Short return visit (20+ min)
1,469
$8,533
Return visit (30+ min)
933
$7,953
Short return visit
183
$2,353
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use
81
$200
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
384
$101
Glucose; blood, reagent strip
259
$58
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy
233
$0
Hemoglobin A1C level
25
$0
HEMOGLOBIN
242
$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use
27
$0
Screening test, pure tone, air only
85
$0
Drugs they prescribed that Part D paid
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their 106 Part D prescriptions in 2022.
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
Year by year
Part D prescribing by year
2022
106
53
0% (0)
—None
$6,223
2021
1,341
69
1% (14)
14%
$73,276
2020
2,085
120
—None
17%
$105,807
2019
2,057
118
1% (12)
16%
$88,145
2018
2,333
121
1% (24)
16%
$100,091
2017
2,782
144
1% (33)
15%
$86,941
2016
2,640
180
1% (16)
16%
$100,706
2015
2,355
169
1% (20)
16%
$90,451
2014
2,249
133
2% (54)
18%
$77,950
2013
2,009
129
5% (96)
20%
$71,334
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2022: 1 drug
Part D drugs prescribed in 2022
Atorvastatin
13
$71
$5
2021: 37 drugs
Part D drugs prescribed in 2021
Humulin 70/30 Kwikpen
17
$11,006
$647
Novolin 70-30
21
$9,631
$459
Xarelto
16
$9,028
$564
Enalapril Maleate
60
$1,185
$20
Atorvastatin
103
$852
$8
Gabapentin
83
$798
$10
Levothyroxine
46
$673
$15
Amlodipine Besylate
95
$532
$6
Albuterol Sulfate Hfa
11
$507
$46
Insulin
16
$375
$23
Lisinopril
41
$337
$8
Glipizide Er
23
$302
$13
Potassium Chloride
14
$294
$21
Simvastatin
44
$287
$7
Isosorbide Dinitrate
12
$283
$24
Pravastatin
24
$277
$12
Metoprolol
23
$276
$12
Furosemide
57
$239
$4
Fluticasone Propionate
28
$235
$8
Pantoprazole
16
$207
$13
Metformin
33
$197
$6
Omeprazole
41
$183
$4
Trazodone
17
$181
$11
Pentoxifylline
12
$171
$14
Metoprolol
25
$162
$6
Glipizide
14
$159
$11
Allopurinol
25
$146
$6
Gemfibrozil
12
$135
$11
Hydrochlorothiazide
37
$128
$3
Clonidine
29
$123
$4
Losartan
16
$112
$7
Sertraline
16
$110
$7
Carvedilol
16
$106
$7
Finasteride
17
$81
$5
Atenolol
13
$80
$6
Triamcinolone Acetonide
12
$57
$5
Tramadol
14
$40
$3
2020: 48 drugs
Part D drugs prescribed in 2020
Xarelto
22
$14,125
$642
Eliquis
11
$10,575
$961
Novolin 70-30
20
$9,858
$493
Spiriva
12
$8,304
$692
Humulin 70-30
19
$6,468
$340
Novolin 70-30 Flexpen
14
$3,546
$253
Flovent Hfa
15
$3,513
$234
Enalapril Maleate
124
$3,063
$25
Albuterol Sulfate Hfa
29
$1,238
$43
Levothyroxine
56
$958
$17
Pravastatin
67
$860
$13
Amlodipine Besylate
156
$837
$5
Atorvastatin
85
$801
$9
Gabapentin
89
$792
$9
Simvastatin
111
$610
$5
Glipizide Er
45
$562
$12
Metoprolol
32
$501
$16
Lisinopril
54
$419
$8
Furosemide
74
$398
$5
Potassium Chloride
19
$387
$20
Metformin
61
$361
$6
Pantoprazole
35
$352
$10
Gemfibrozil
23
$341
$15
Insulin
15
$337
$22
Allopurinol
40
$302
$8
Hydrochlorothiazide
79
$282
$4
Tamsulosin
33
$280
$8
Isosorbide Dinitrate
11
$276
$25
Losartan
27
$274
$10
Verapamil Er
12
$270
$23
Omeprazole
54
$258
$5
Glipizide Xl
18
$256
$14
Fluticasone Propionate
25
$223
$9
Metoprolol
34
$200
$6
Atenolol
30
$164
$5
Carvedilol
20
$164
$8
Trazodone
18
$153
$9
Naproxen
18
$144
$8
Hydroxyzine
15
$141
$9
Pentoxifylline
11
$138
$13
Clotrimazole
11
$138
$13
Rosuvastatin
14
$130
$9
Clonidine
28
$121
$4
Sertraline
20
$118
$6
Finasteride
15
$115
$8
Glipizide
15
$63
$4
Ibuprofen
16
$58
$4
Triamcinolone Acetonide
13
$57
$4
2019: 45 drugs
Part D drugs prescribed in 2019
Novolin 70-30
37
$13,024
$352
Xarelto
18
$9,976
$554
Lantus
16
$6,672
$417
Humulin 70-30
16
$5,633
$352
Spiriva
12
$5,495
$458
Enalapril Maleate
140
$3,704
$26
Pravastatin
112
$1,865
$17
Ventolin Hfa
23
$1,441
$63
Gabapentin
105
$1,214
$12
Levothyroxine
45
$883
$20
Amlodipine Besylate
135
$787
$6
Metoprolol
42
$778
$19
Glipizide Er
41
$751
$18
Esomeprazole Magnesium
18
$741
$41
Simvastatin
147
$692
$5
Glipizide Xl
33
$566
$17
Losartan
39
$493
$13
Metformin
61
$491
$8
Isosorbide Dinitrate
13
$464
$36
Hydrochlorothiazide
87
$405
$5
Insulin
15
$385
$26
Gemfibrozil
16
$353
$22
Allopurinol
36
$312
$9
Fluticasone Propionate
27
$291
$11
Tamsulosin
35
$288
$8
Atenolol
42
$256
$6
Rosuvastatin
25
$249
$10
Lisinopril
32
$243
$8
Metoprolol
34
$216
$6
Omeprazole
37
$214
$6
Furosemide
65
$210
$3
Triamcinolone Acetonide
34
$205
$6
Trazodone
20
$195
$10
Paroxetine
13
$173
$13
Pentoxifylline
13
$163
$13
Carvedilol
16
$157
$10
Verapamil Er
13
$120
$9
Pantoprazole
15
$116
$8
Atorvastatin
15
$110
$7
Finasteride
13
$98
$8
Glipizide
26
$91
$4
Clonidine
16
$85
$5
Ranitidine
11
$80
$7
Zolpidem
12
$71
$6
Sertraline
11
$62
$6
2018: 48 drugs
Part D drugs prescribed in 2018
Lantus
47
$22,830
$486
Novolin 70-30
37
$10,182
$275
Humulin 70-30
17
$5,596
$329
Xarelto
13
$5,297
$407
Enalapril Maleate
139
$4,026
$29
Ventolin Hfa
36
$2,412
$67
Esomeprazole Magnesium
14
$2,145
$153
Pravastatin
101
$1,792
$18
Glipizide Er
77
$1,257
$16
Levothyroxine
43
$1,122
$26
Metoprolol
54
$1,113
$21
Amlodipine Besylate
166
$1,086
$7
Gabapentin
110
$1,008
$9
Glipizide Xl
41
$877
$21
Losartan
78
$665
$9
Isosorbide Dinitrate
13
$615
$47
Simvastatin
107
$530
$5
Metformin
74
$490
$7
Hydrochlorothiazide
108
$477
$4
Rosuvastatin
27
$392
$15
Omeprazole
49
$370
$8
Allopurinol
31
$363
$12
Fluticasone Propionate
35
$353
$10
Nitrofurantoin Mono-Macro
14
$308
$22
Gemfibrozil
23
$306
$13
Atenolol
61
$300
$5
Tamsulosin
30
$298
$10
Potassium Chloride
12
$287
$24
Metoprolol
43
$287
$7
Trazodone
35
$285
$8
Nortriptyline
13
$260
$20
Insulin
13
$255
$20
Diclofenac
14
$237
$17
Pantoprazole
23
$227
$10
Furosemide
62
$203
$3
Lisinopril
43
$168
$4
Pentoxifylline
13
$168
$13
Glipizide
23
$155
$7
Clopidogrel
12
$136
$11
Naproxen
19
$134
$7
Finasteride
14
$129
$9
Lovastatin
12
$122
$10
Paroxetine
20
$112
$6
Tramadol
21
$112
$5
Triamcinolone Acetonide
15
$81
$5
Clonidine
12
$64
$5
Carvedilol
12
$59
$5
Sulfamethoxazole-Trimethoprim
14
$53
$4
2017: 51 drugs
Part D drugs prescribed in 2017
Lantus
41
$12,613
$308
Spiriva
14
$9,454
$675
Novolin 70-30
36
$7,852
$218
Colcrys
16
$6,637
$415
Enalapril Maleate
146
$3,816
$26
Isosorbide Dinitrate Er
11
$1,678
$153
Metoprolol
68
$1,631
$24
Amlodipine Besylate
249
$1,320
$5
Ventolin Hfa
21
$1,273
$61
Gabapentin
124
$1,231
$10
Glipizide Er
72
$1,146
$16
Levothyroxine
52
$1,100
$21
Glipizide Xl
72
$1,086
$15
Pravastatin
60
$1,019
$17
Losartan
113
$986
$9
Gemfibrozil
60
$802
$13
Simvastatin
157
$733
$5
Hydrochlorothiazide
161
$667
$4
Proair Hfa
11
$614
$56
Allopurinol
48
$577
$12
Omeprazole
73
$554
$8
Tamsulosin
45
$511
$11
Metformin
75
$446
$6
Potassium Chloride
18
$359
$20
Atenolol
97
$355
$4
Rosuvastatin
27
$343
$13
Meclizine
16
$314
$20
Fluticasone Propionate
25
$300
$12
Spironolactone
13
$288
$22
Labetalol
13
$286
$22
Insulin
18
$283
$16
Nystatin
16
$258
$16
Furosemide
87
$255
$3
Glyburide-Metformin
16
$249
$16
Celecoxib
12
$246
$21
Trueplus Insulin
16
$240
$15
Metoprolol
45
$239
$5
Trazodone
47
$233
$5
Triamcinolone Acetonide
31
$208
$7
Naproxen
17
$185
$11
Pentoxifylline
13
$174
$13
Nortriptyline
16
$173
$11
Loperamide
17
$168
$10
Pantoprazole
18
$163
$9
Paroxetine
23
$137
$6
Tramadol
30
$120
$4
Lisinopril
30
$111
$4
Clonidine
17
$89
$5
Benazepril
12
$87
$7
Carvedilol
18
$84
$5
Alendronate
13
$77
$6
2016: 54 drugs
Part D drugs prescribed in 2016
Novolin 70-30
41
$9,234
$225
Spiriva
17
$9,190
$541
Crestor
16
$6,854
$428
Lantus
21
$5,605
$267
Advair Diskus
11
$4,767
$433
Humulin 70-30
15
$3,861
$257
Enalapril Maleate
151
$3,858
$26
Isosorbide Dinitrate
15
$2,266
$151
Gabapentin
139
$1,367
$10
Metoprolol
44
$1,248
$28
Amlodipine Besylate
214
$1,234
$6
Ventolin Hfa
23
$1,205
$52
Pravastatin
40
$1,032
$26
Metformin
114
$1,002
$9
Omeprazole
96
$982
$10
Hydrochlorothiazide
196
$858
$4
Levothyroxine
42
$834
$20
Glipizide Xl
50
$830
$17
Tamsulosin
39
$717
$18
Simvastatin
109
$601
$6
Proair Hfa
11
$593
$54
Glipizide Er
34
$591
$17
Fluticasone Propionate
40
$562
$14
Gemfibrozil
45
$544
$12
Celecoxib
11
$537
$49
Meclizine
18
$483
$27
Allopurinol
29
$480
$17
Atenolol
118
$455
$4
Potassium Chloride
19
$385
$20
Spironolactone
18
$363
$20
Nitrofurantoin Mono-Macro
11
$342
$31
Losartan
48
$323
$7
Insulin
14
$288
$21
Glyburide-Metformin
24
$253
$11
Atorvastatin
14
$247
$18
Furosemide
81
$245
$3
Indomethacin
13
$226
$17
Metoprolol
33
$224
$7
Lisinopril
46
$200
$4
Sertraline
21
$196
$9
Trueplus Insulin
13
$191
$15
Estradiol
11
$185
$17
Pentoxifylline
13
$177
$14
Loperamide
17
$168
$10
Nortriptyline
16
$133
$8
Naproxen
16
$131
$8
Alendronate
26
$131
$5
Trazodone
27
$106
$4
Clonidine
16
$98
$6
Carvedilol
20
$94
$5
Triamcinolone Acetonide
16
$85
$5
Tramadol
14
$75
$5
Zolpidem
15
$46
$3
Lovastatin
12
$43
$4
2015: 53 drugs
Part D drugs prescribed in 2015
Spiriva
15
$7,122
$475
Nexium
15
$5,914
$394
Advair Diskus
15
$5,731
$382
Lantus
16
$5,542
$346
Crestor
13
$5,121
$394
Novolin 70-30
20
$4,029
$201
Enalapril Maleate
150
$3,987
$27
Isosorbide Dinitrate
22
$2,819
$128
Humulin 70-30
14
$2,625
$188
Nystatin-Triamcinolone
12
$1,659
$138
Proair Hfa
25
$1,382
$55
Omeprazole
104
$1,236
$12
Metformin
126
$1,086
$9
Levothyroxine
44
$982
$22
Ventolin Hfa
20
$953
$48
Metoprolol
34
$926
$27
Amlodipine Besylate
161
$888
$6
Pravastatin
30
$805
$27
Gemfibrozil
56
$800
$14
Hydrochlorothiazide
179
$749
$4
Gabapentin
70
$653
$9
Atenolol
135
$623
$5
Atorvastatin
31
$610
$20
Tamsulosin
28
$516
$18
Glipizide Er
29
$500
$17
Fluticasone Propionate
35
$480
$14
Meclizine
18
$459
$26
Allopurinol
21
$436
$21
Spironolactone
19
$367
$19
Nitrofurantoin Mono-Macro
11
$359
$33
Simvastatin
65
$358
$6
Glyburide-Metformin
19
$333
$18
Furosemide
83
$303
$4
Naproxen
49
$280
$6
Metoprolol
40
$234
$6
Triamterene-Hydrochlorothiazid
12
$216
$18
Lisinopril
27
$191
$7
Losartan
14
$165
$12
Alendronate
18
$164
$9
Estradiol
12
$156
$13
Pentoxifylline
11
$146
$13
Glipizide
15
$132
$9
Nortriptyline
15
$130
$9
Loperamide
13
$107
$8
Clonidine
20
$95
$5
Lovastatin
15
$93
$6
Zolpidem
25
$87
$3
Pantoprazole
12
$77
$6
Paroxetine
13
$75
$6
Trazodone
16
$66
$4
Tramadol
13
$56
$4
Carvedilol
13
$50
$4
Fluoxetine
12
$40
$3
2014: 43 drugs
Part D drugs prescribed in 2014
Nexium
12
$7,055
$588
Novolin 70-30
14
$4,145
$296
Lantus
12
$3,486
$290
Lipitor
12
$2,655
$221
Enalapril Maleate
135
$2,219
$16
Atorvastatin
67
$1,550
$23
Gemfibrozil
92
$1,531
$17
Amlodipine Besylate
164
$1,152
$7
Omeprazole
89
$1,147
$13
Gabapentin
52
$1,139
$22
Metformin
108
$1,103
$10
Levothyroxine
55
$1,026
$19
Proair Hfa
19
$1,002
$53
Atenolol
178
$973
$5
Hydrochlorothiazide
170
$879
$5
Pioglitazone
12
$659
$55
Naproxen
58
$511
$9
Alendronate
35
$485
$14
Nitrofurantoin Mono-Macro
14
$414
$30
Tamsulosin
27
$404
$15
Metoprolol
13
$402
$31
Fluticasone Propionate
27
$384
$14
Meclizine
12
$378
$31
Glipizide Er
17
$365
$21
Simvastatin
32
$357
$11
Allopurinol
33
$332
$10
Lisinopril
38
$301
$8
Triamterene-Hydrochlorothiazid
12
$287
$24
Tramadol
43
$282
$7
Losartan
19
$268
$14
Furosemide
71
$222
$3
Glyburide-Metformin
16
$213
$13
Nortriptyline
15
$212
$14
Clonidine
28
$207
$7
Fluoxetine
11
$150
$14
Fosinopril
11
$132
$12
Zolpidem
14
$115
$8
Glipizide
15
$102
$7
Paroxetine
12
$92
$8
Terazosin
13
$80
$6
Quinapril
12
$68
$6
Lisinopril-Hydrochlorothiazide
11
$60
$5
Metoprolol
12
$49
$4
2013: 39 drugs
Part D drugs prescribed in 2013
Nexium
17
$8,689
$511
Novolin 70-30
21
$3,242
$154
Lunesta
12
$3,036
$253
Pioglitazone
21
$2,765
$132
Atorvastatin
68
$2,757
$41
Crestor
12
$2,039
$170
Gemfibrozil
63
$1,615
$26
Enalapril Maleate
136
$1,562
$11
Gabapentin
46
$1,557
$34
Amlodipine Besylate
125
$1,383
$11
Omeprazole
72
$1,371
$19
Metformin
92
$1,137
$12
Hydrochlorothiazide
132
$905
$7
Proair Hfa
17
$798
$47
Alendronate
44
$787
$18
Atenolol
127
$724
$6
Glyburide-Metformin
28
$605
$22
Levothyroxine
49
$598
$12
Naproxen
70
$579
$8
Simvastatin
48
$562
$12
Losartan
20
$491
$25
Tramadol
64
$462
$7
Pravastatin
21
$435
$21
Glipizide Xl
21
$335
$16
Glyburide
12
$288
$24
Fluoxetine
11
$269
$24
Clonidine
26
$206
$8
Furosemide
54
$202
$4
Nortriptyline
12
$162
$14
Triamcinolone Acetonide
17
$155
$9
Metoprolol
28
$137
$5
Hydrocodone-Acetaminophen
26
$137
$5
Spironolactone
11
$134
$12
Allopurinol
15
$134
$9
Zolpidem
23
$122
$5
Azithromycin
11
$120
$11
Quinapril
14
$108
$8
Ibuprofen
18
$101
$6
Lisinopril
12
$87
$7
Professional record
NPI
1558397836
Licence
CA A56277California A56277: Delinquent · expires 2024-02-29
More record details
Sole proprietor
No
Taxonomy
General practice (208D00000X)
Mailing address
55 E Julian St, San Jose, CA, 95112
NPI first listed
2006-06-25
NPI last updated
2010-12-29
This is when the NPI record was last certified, not a medical board exam.