1. Home
  2. Directory
  3. California
  4. Hollywood
  5. Physician Assistant
  6. NPI Profile

LARA CONOVALOFF PA-C
NPI 1801229356
Physician Assistant - Medical in Hollywood, CA

Active since August 19, 2013PECOS EnrolledAccepts Medicare Assignment
6430 SELMA AVE, HOLLYWOOD, CA 90028(323) 848-4522 Get Directions Write a Review

NPPES record last updated: April 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lara Conovaloff Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARA CONOVALOFF PA-C (NPI 1801229356) is an individual medical provider in Hollywood, California, licensed in California (23167) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1801229356
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLARA CONOVALOFFCredential: PA-C
Location Address6430 SELMA AVEHollywood, CA 90028-7311
Mailing Address6430 Selma AveHollywood, CA 90028-7311
Phone(323) 848-4522
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 19, 2013
Last NPPES UpdateApril 11, 2014
✔ NPI 1801229356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 23167
6430 SELMA AVE, Hollywood, CA 90028
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lara Conovaloff Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002042272
PECOS Enrollment IDI20131118000321
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASMINE NEMAN PA-C
Physician Assistant
6430 SELMA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 848-4522
MICHELLE KIM
Nurse Practitioner (Family)
6430 SELMA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 848-4522
MR. MAURICE ANTHONY ADKINS P.A.
Physician Assistant (Medical)
6430 SELMA AVE
HOLLYWOOD, CA 90028
Los Angeles County (323) 848-4522
DR. NADGEDA MOORE M.D.
Internal Medicine
6430 SELMA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 848-4522
THE BERKELEY CLINIC, INC
Clinic/Center (Urgent Care)
6430 SELMA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 848-4522
HOLLYWOOD WALK IN CLINIC
Clinic/Center (Urgent Care)
6430 SELMA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 848-4522
MS. CHRISTINA BROWN PA-C
Physician Assistant
6430 SELMA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 848-4522
VIVIANA CARBAJAL FNP
Nurse Practitioner (Family)
6430 SELMA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 543-4433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Conovaloff's NPI number?

The NPI number for Lara Conovaloff is 1801229356. It was assigned to this individual provider in the NPPES registry on August 19, 2013.

Where is Lara Conovaloff located?

Lara Conovaloff practices at 6430 Selma Ave, Hollywood, CA 90028. The listed phone number is (323) 848-4522.

What is Lara Conovaloff's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lara Conovaloff enrolled in Medicare?

Yes. Lara Conovaloff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lara Conovaloff was last updated on April 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.