Individual provider Active NPI

Melvin Yvanny Valle-Amaya, PA-C

  • Physician Assistant
  • West Hollywood, CA
National Provider Identifier
1124897285
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67301 Issued in CA
Practice address
8280 Santa Monica Blvd
West Hollywood, CA 90046-5915
Phone
(424) 245-3486
NPI assigned
Dec 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 67301 CA Primary

Addresses

Primary practice location

8280 Santa Monica Blvd
West Hollywood, CA 90046-5915

Mailing address

8280 Santa Monica Blvd
West Hollywood, CA 90046-5915
Phone (424) 245-3486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251126002913 CA Practitioner - Physician Assistant 8224520168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony Martin Mills M D a Medical CorporationGroup PAC ID 1456404573, 12 clinicians

Practice addresses (Care Compare)

9201 W Sunset Blvd
Suite 812
West Hollywood, CA 90069-3709
Phone (310) 550-1010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67301CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Men'S Health Foundation CurrentSince Dec 2, 2025 Accepting new patients
Men'S Health Foundation CurrentSince Dec 2, 2025 Accepting new patients
Anthony Martin Mills M D a Medical Corporation CurrentSince Nov 13, 2025 Accepting new patients

Locations

8601 S Broadway
Ste 100
Los Angeles, CA 90003

8280 Santa Monica Blvd
West Hollywood, CA 90046
Phone (310) 550-1010

9201 W Sunset Blvd
Ste 812
West Hollywood, CA 90069
Phone (310) 271-4656

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1124897285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465915",
            "telephone_number": "424-245-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465915",
            "telephone_number": "424-245-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE-AMAYA",
        "first_name": "MELVIN",
        "middle_name": "YVANNY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.