Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Olivia Jane Wilson, PA-C

Individual provider Physician Assistant · NPI 1962362020

MS. Olivia Jane Wilson, PA-C is a Physician Assistant in LA Jolla, California. Qualified in 2025, 1 year ago. Practices with Pacific Senior Group, a 6-clinician group. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4150 Regents Park Row Ste 230
LA Jolla, CA 92037-1414
Phone: (858) 207-3117
Fax: (858) 240-4029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67272 (CA)

Record details

NPI number1962362020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 12, 2025
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Pacific Senior Group — 6 clinicians
Accepts Medicare assignment Not indicated

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