CARLY ISAACS (PA-C) – Physician Assistant, NPI 1407502164
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for CARLY ISAACS (PA-C)
522 S San Pedro St
Los Angeles, CA 900132102
Phone: (866) 733-5924
Type: Location
422 S San Pedro St
Los Angeles, CA 900132119
Phone: (213) 223-2900
Type: Location
22591 LABRUSCA
MISSION VIEJO, CA 926921327
Phone:
Type: Mailing
1326 W IMPERIAL HWY
LOS ANGELES, CA 900441320
Phone: (949) 690-7238
Type: Location
515 E 6TH ST
LOS ANGELES, CA 900211009
Phone: (213) 572-0321
Type: Mailing
515 E 6TH ST FL 2
LOS ANGELES, CA 900211009
Phone: (213) 622-2639
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $672.
Total Amount is formed as General ($672) + Research ($0) + Ownership ($0) = $672.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($299).
Total Amount
$672
General + Research + Ownership
Payments
16
Total payment records
General Amount
$672
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $299 |
| ABBVIE INC. | $238 |
| Gilead Sciences, Inc. | $81 |
| ViiV Healthcare Company | $25 |
| Otsuka America Pharmaceutical, Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240920000453 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 90013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Internal Medicine, Pediatric Medicine | CA | |
| Nurse Practitioner | NY | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | CA | |
| Family Practice | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | CA | |
| C H I R O P R A C T I C | CA |
Reviews
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