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A former physician assistant at a Fountain Valley medical clinic was sentenced to 46 months in federal prison for conspiring to issue and sell prescriptions for oxycodone, a highly addictive opioid painkiller, without a medical purpose, to drug dealers, knowing the drugs would be sold on the street.

56 year old Raif Wadie Iskander, formerly of Ladera Ranch, but who now resides in Ennis, Montana, was sentenced by United States District Judge James V. Selna. He was a graduate of Stanford University, and became a licensed physicians assistant in 2011.

Iskander pleaded guilty in November 2020 to one count of conspiracy to distribute oxycodone.

From 2018 to April 2019, Iskander, who was a licensed physician assistant in California, wrote prescriptions for purported “patients” he had never met or examined. Iskander provided to drug dealers multiple paper prescriptions that he had signed, but with the patient names left blank, to be filled in by drug dealers later.

Iskander wrote fraudulent oxycodone prescriptions for two co-defendants – Adam Anton Roggero, 36, of Costa Mesa and Johnny Gilbert Alvarez, 42, a.k.a. “M.J.,” of Santa Ana, who sold the prescribed drugs on the street as well as to an undercover officer.

Iskander knew that the oxycodone filled from the prescriptions would be sold to drug customers who were not using the oxycodone for legitimate medical purposes and whom he had never met or examined.

Alvarez pleaded guilty in November 2021 to one count of distribution of methamphetamine and is scheduled to be sentenced on June 13.

The Drug Enforcement Administration, the Costa Mesa Police Department, and the California Department of Health Care Services investigated this matter.

Assistant United States Attorney Rosalind Wang of the Santa Ana Branch Office prosecuted this case.