LARA CONOVALOFF (PA-C) – Medical Physician Assistant, NPI 1801229356

LARA CONOVALOFF (PA-C) is a healthcare provider. based in Hollywood, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 23167 (CA). The NPI Number for LARA CONOVALOFF (PA-C) is 1801229356

Main info

Female
13 Years Of Experience
Name
LARA CONOVALOFF (PA-C)
NPI
1801229356
Phone
(323) 848-4522
Address
6430 SELMA AVE
Enumeration Date
19 August 2013
Last Update Date
11 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3108620400
Graduation Year
2013 (13 years ago)
PAC ID
6002042272
Group Practice PAC ID
8820179872
Professional Enrollment ID
I20131118000321
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for LARA CONOVALOFF (PA-C)

  • 6430 SELMA AVE

    HOLLYWOOD, CA 900287311

    Phone: (323) 848-4522

    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 3 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: ABBVIE INC. ($75).

Total Amount

$75

General + Research + Ownership

Payments

3

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$75
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: 2013-11-18

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
I20131118000321IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making3939$0
99214Established patient office or other outpatient visit, 30-39 minutes3735$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 90028)

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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: 8820179872View full group profile

Reviews

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Frequently asked questions

Can I cross-check LARA CONOVALOFF (PA-C) using NPI 1801229356?
NPI 1801229356 belongs to LARA CONOVALOFF (PA-C); compare other details if you need extra assurance.
Is LARA CONOVALOFF (PA-C) still an active registrant?
LARA CONOVALOFF (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with LARA CONOVALOFF (PA-C)?
LARA CONOVALOFF (PA-C)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in California is LARA CONOVALOFF (PA-C) registered?
Use Hollywood, California as the headline location for LARA CONOVALOFF (PA-C) here.
Can I trust this NPI listing for LARA CONOVALOFF (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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