Active NPI
Brian Samuel Galdamez, PA-C
- Medical Physician Assistant
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA63488
- Practice address
- 9939 Magnolia Ave
Riverside, CA 92503-3528 - Phone
- (951) 687-8802
- Fax
- (951) 848-9968
- NPI assigned
- Oct 27, 2023
- Last updated
- Oct 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA63488 | CA | Primary |
Addresses
Primary practice location
9939 Magnolia Ave
Riverside, CA 92503-3528
Mailing address
9939 Magnolia Ave
Riverside, CA 92503-3528
Phone (951) 687-8802
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13925 Indian St
Moreno Valley, CA 92553-5718
Phone (855) 505-7467
1530 W 6TH St
Suite 109
Corona, CA 92882-2784
Phone (855) 505-7467
4022 Chicago Ave
Riverside, CA 92507-5340
Phone (855) 505-7467
9939 Magnolia Ave
Riverside, CA 92503-3528
Phone (855) 505-7467
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA63488 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alessandro Medical Professional Corporation | Current | Accepting new patients | |
| Dr. Javier Rios, a Medical Corporation | Current | Accepting new patients | |
| Dr. Javier Rios a Medical Corporation | Current | Accepting new patients | |
| Dr. Javier Rios, a Medical Corporation | Past | Accepting new patients | |
| Dr. Javier Rios, a Medical Corporation | Past | Accepting new patients | |
| Javier R Rios MD, a Professional Corporation | Past | Accepting new patients | |
| Dr. Javier Rios a Medical Corporation | Past | Accepting new patients |
Locations
495 E Rincon St
Ste 215
Corona, CA 92879
1530 W 6th St
Ste 109
Corona, CA 92882
Phone (951) 279-2171
82935 Avenue 48
Ste 101
Indio, CA 92201
82935 Avenue 48
#101
Indio, CA 92201
141 N Main St
Lake Elsinore, CA 92530
Phone (951) 245-5003
13925 Indian St
Moreno Valley, CA 92553
Phone (213) 537-2927
21091 Rider St
Ste 218
Perris, CA 92570
Phone (951) 354-2229
27625 Jefferson Ave
Ste 101
Temecula, CA 92590
Phone (951) 506-5768
Organizations & group practices 8
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.
-
dba Alessandro Clinica Medica Familiar
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1881941409
-
dba Magnolia Clinica Medica Familiar
- Family Medicine Physician
- Riverside, CA
- NPI 1235138363
-
dba Mission Trail Clinica Medica Familiar
- Family Medicine Physician
- Lake Elsinore, CA
- NPI 1598291015
-
- Family Medicine Physician
- Montclair, CA
- NPI 1972955730
-
dba Dr. Rios' Clinica Medica Familiar
- Family Medicine Physician
- Indio, CA
- NPI 1205405974
-
- Family Medicine Physician
- Morongo Valley, CA
- NPI 1063387538
-
dba Mead Valley Clinica Medica Familiar
- Family Medicine Physician
- Perris, CA
- NPI 1942631460
-
dba Lake Elsinore Clinica Medica Familiar
- Family Medicine Physician
- Lake Elsinore, CA
- NPI 1033418785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1235901612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9939 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033528",
"telephone_number": "951-687-8802",
"fax_number": "951-848-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9939 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033528",
"telephone_number": "951-687-8802",
"fax_number": "951-848-9968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALDAMEZ",
"first_name": "BRIAN",
"middle_name": "SAMUEL",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA63488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.