NPIMap

Individual provider Active NPI

Olivia Grace Granger-Holland, PA-C

  • Physician Assistant
  • Ventura, CA
National Provider Identifier
1013795921
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63576 Issued in CA
Practice address
2900 Loma Vista Rd Ste 205
Ventura, CA 93003-2909
Phone
(805) 642-4830
NPI assigned
Sep 20, 2023
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63576 CA Primary

Addresses

Primary practice location

2900 Loma Vista Rd Ste 205
Ventura, CA 93003-2909

Mailing address

2900 Loma Vista Rd Ste 205
Ventura, CA 93003-2909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116002979 CA Practitioner - Physician Assistant 0749637460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011

2900 Loma Vista Rd
Suite 205
Ventura, CA 93003-2909
Phone (805) 642-4830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA63576CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc CurrentSince Nov 27, 2023 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Nov 27, 2023 Accepting new patients
Community Memorial Health System CurrentSince Aug 1, 2025 Accepting new patients
Community Memorial Health System CurrentSince Aug 1, 2025 Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

1100 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 988-0053

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

2900 Loma Vista Rd
Ste 205
Ventura, CA 93003
Phone (805) 570-7799

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

Interoperability endpoints

  • Direct secure messaging: ogranger4050479@oc.providencedirect.org
  • Direct secure messaging: olivia.granger.p1@direct.clinicas.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1013795921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOMA VISTA RD STE 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOMA VISTA RD STE 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032909",
            "telephone_number": "805-642-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER-HOLLAND",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.