MS. OLIVIA CLARA CARR (PA) – Physician Assistant, NPI 1730810490

MS. OLIVIA CLARA CARR (PA) is a healthcare provider. based in Laguna hills, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA61313 (CA). The NPI Number for MS. OLIVIA CLARA CARR (PA) is 1730810490

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. OLIVIA CLARA CARR (PA)
NPI
1730810490
Phone
(949) 855-1101
Address
23961 CALLE DE LA MAGDALENA STE 500
Enumeration Date
22 June 2022
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9498551101
Graduation Year
2022 (4 years ago)
PAC ID
3779965959
Group Practice PAC ID
6002713146
Professional Enrollment ID
I20220804001568
Address ID
CA926916347MI26691PLAZ202
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for MS. OLIVIA CLARA CARR (PA)

  • 23961 CALLE DE LA MAGDALENA STE 500

    LAGUNA HILLS, CA 926537622

    Phone: (949) 855-1101

    Fax: (949) 289-9171

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $1,983.

Total Amount is formed as General ($1,983) + Research ($0) + Ownership ($0) = $1,983.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Antares Pharma, Inc. ($479).

Total Amount

$1,983

General + Research + Ownership

Payments

118

Total payment records

General Amount

$1,983

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-08-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220804001568IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 92653)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002713146View full group profile
NameSpecialtyState
U R O L O G YMO
U R O L O G YCA
U R O L O G YCA
U R O L O G YCA
U R O L O G YCA
Nurse PractitionerCA
Physician AssistantCA
U R O L O G YCA
Physician AssistantCA
U R O L O G YCA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. OLIVIA CLARA CARR (PA)?
NPI 1730810490 is assigned to MS. OLIVIA CLARA CARR (PA) under the national enumeration system.
Is MS. OLIVIA CLARA CARR (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MS. OLIVIA CLARA CARR (PA) treat or focus on?
Patients typically see MS. OLIVIA CLARA CARR (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MS. OLIVIA CLARA CARR (PA)'s primary listing?
We display Laguna Hills, California because that is what the record indicates for MS. OLIVIA CLARA CARR (PA).
Is MS. OLIVIA CLARA CARR (PA) a real provider?
This page reflects official NPPES data for NPI 1730810490. Always confirm identity and privileges with the practice and licensing boards.

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