MR. MELVIN YVANNY VALLE-AMAYA (PA-C) – Physician Assistant, NPI 1124897285

MR. MELVIN YVANNY VALLE-AMAYA (PA-C) is a healthcare provider. based in West hollywood, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 67301 (CA). The NPI Number for MR. MELVIN YVANNY VALLE-AMAYA (PA-C) is 1124897285

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
MR. MELVIN YVANNY VALLE-AMAYA (PA-C)
NPI
1124897285
Phone
(424) 245-3486
Address
8280 SANTA MONICA BLVD
Enumeration Date
29 December 2023
Last Update Date
5 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3105501010
Graduation Year
2025 (1 year ago)
PAC ID
8224520168
Group Practice PAC ID
1456404573
Professional Enrollment ID
I20251126002913
Address ID
CA900693709WE9201XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MR. MELVIN YVANNY VALLE-AMAYA (PA-C)

  • 8280 SANTA MONICA BLVD

    WEST HOLLYWOOD, CA 900465915

    Phone: (424) 245-3486

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251126002913IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90046)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456404573View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineCA
Physician AssistantCA
Family PracticeCA
Clinical Social WorkerCA
Infectious Disease, Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Physician AssistantCA
Internal MedicineCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. MELVIN YVANNY VALLE-AMAYA (PA-C)?
NPI 1124897285 is assigned to MR. MELVIN YVANNY VALLE-AMAYA (PA-C) under the national enumeration system.
Does this profile mean MR. MELVIN YVANNY VALLE-AMAYA (PA-C) is currently active?
Yes — MR. MELVIN YVANNY VALLE-AMAYA (PA-C) appears active in the national provider directory.
What field does MR. MELVIN YVANNY VALLE-AMAYA (PA-C) work in?
You can think of MR. MELVIN YVANNY VALLE-AMAYA (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. MELVIN YVANNY VALLE-AMAYA (PA-C)?
The page summarizes West Hollywood, California for MR. MELVIN YVANNY VALLE-AMAYA (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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