Individual provider · Type 1 NPI

Olivia Jane Wilson, PA-C

Physician Assistant · La Jolla, CA

NPI number 1962362020 Active

Practice location

4150 Regents Park Row Ste 230
La Jolla, CA 92037-1414

Call (858) 207-3117 Map

Fax (858) 240-4029

Mailing address

958 B Ave
Coronado, CA 92118-2606

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA67272 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962362020

Olivia Jane Wilson, PA-C's National Provider Identifier is 1962362020, issued on Nov 12, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in La Jolla, CA. The record was last updated on Apr 9, 2026.