ERIC BRETT OLIVER (PA-C) – Physician Assistant, NPI 1962238410

ERIC BRETT OLIVER (PA-C) is a healthcare provider. based in West hollywood, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA65030 (CA). The NPI Number for ERIC BRETT OLIVER (PA-C) is 1962238410

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ERIC BRETT OLIVER (PA-C)
NPI
1962238410
Phone
(870) 759-1629
Address
920 N KINGS RD APT 119
Enumeration Date
11 September 2024
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8183528333
Graduation Year
2024 (2 years ago)
PAC ID
3577090893
Group Practice PAC ID
6709106453
Professional Enrollment ID
I20241227002615
Address ID
CA910422719TU7204XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for ERIC BRETT OLIVER (PA-C)

  • 920 N KINGS RD APT 119

    WEST HOLLYWOOD, CA 900694333

    Phone: (870) 759-1629

    Type: Mailing

  • 309 E 2ND ST

    POMONA, CA 917661854

    Phone: (909) 623-6116

    Type: Location

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 $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($62).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$62
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: 2024-12-27

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
I20241227002615IPhysician 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 90069)

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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: 6709106453View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ERIC BRETT OLIVER (PA-C)?
ERIC BRETT OLIVER (PA-C) — NPI 1962238410 — is the standard way to identify this listing.
Does the file indicate ERIC BRETT OLIVER (PA-C) is practicing under active NPI?
Directory data currently reports ERIC BRETT OLIVER (PA-C) as active.
What is ERIC BRETT OLIVER (PA-C)'s primary classification?
Physician Assistant is the headline specialty for ERIC BRETT OLIVER (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is ERIC BRETT OLIVER (PA-C) based?
ERIC BRETT OLIVER (PA-C) is tied to West Hollywood, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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