Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ANA AZUCENA ALZAMORA MONDRAGON

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1417423856
CMS profile
10746627
Location
FRESNO, CA

General Payments · PY2021–2024

$1,544.07

  • Reported across 74 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$500.93

17 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $500.93 17

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $349.93 19
PY2022 $120.83 6
PY2023 $572.38 32
PY2024 $500.93 17

Payment records · PY2024 (17)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Actelion Pharmaceuticals US, Inc. $14.35 05/06/2024 Food and Beverage Undisputed 01/23/2026 1078868090 CMS
Actelion Pharmaceuticals US, Inc. $14.29 11/25/2024 Food and Beverage Undisputed 01/23/2026 1078868332 CMS
Amgen Inc. $119.69 11/20/2024 Food and Beverage Undisputed 01/23/2026 1115423042 CMS
Daiichi Sankyo Inc. $28.68 02/09/2024 Food and Beverage Undisputed 01/23/2026 1089393150 CMS
Daiichi Sankyo Inc. $29.62 06/15/2024 Food and Beverage Undisputed 01/23/2026 1089393152 CMS
Dexcom, Inc. $20.10 01/25/2024 Food and Beverage Undisputed 01/23/2026 1153348433 CMS
Dexcom, Inc. $20.97 03/05/2024 Food and Beverage Undisputed 01/23/2026 1153348435 CMS
Dexcom, Inc. $22.78 04/25/2024 Food and Beverage Undisputed 01/23/2026 1153348437 CMS
Exact Sciences Corporation $20.58 01/29/2024 Food and Beverage Undisputed 01/23/2026 1134958363 CMS
Exact Sciences Corporation $20.58 04/17/2024 Food and Beverage Undisputed 01/23/2026 1134958365 CMS
Exact Sciences Corporation $20.58 06/07/2024 Food and Beverage Undisputed 01/23/2026 1134958367 CMS
Exact Sciences Corporation $22.77 08/13/2024 Food and Beverage Undisputed 01/23/2026 1134958369 CMS
Exact Sciences Corporation $22.38 11/14/2024 Food and Beverage Undisputed 01/23/2026 1134958371 CMS
InSightec,Inc $76.55 02/15/2024 Food and Beverage Undisputed 01/23/2026 1110446691 CMS
PFIZER INC. $14.98 08/01/2024 Food and Beverage Undisputed 01/23/2026 1131786420 CMS
PFIZER INC. $14.27 10/07/2024 Food and Beverage Undisputed 01/23/2026 1131924918 CMS
Philips North America LLC $17.76 07/03/2024 Food and Beverage Undisputed 01/23/2026 1146902666 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.