Individual provider Active NPI

Brian Samuel Galdamez, PA-C

  • Medical Physician Assistant
  • Riverside, CA
National Provider Identifier
1235901612
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA63488 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227002393 CA Practitioner - Physician Assistant 0042655300 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
PA63488CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alessandro Medical Professional Corporation CurrentSince Jan 14, 2024 Accepting new patients
Dr. Javier Rios, a Medical Corporation CurrentSince Jan 14, 2024 Accepting new patients
Dr. Javier Rios a Medical Corporation CurrentSince Jan 14, 2024 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.

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

Verify at the official NPI Registry.