BRIAN SAMUEL GALDAMEZ (PA-C) – Medical Physician Assistant, NPI 1235901612

BRIAN SAMUEL GALDAMEZ (PA-C) is a healthcare provider. based in Riverside, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA63488 (CA). The NPI Number for BRIAN SAMUEL GALDAMEZ (PA-C) is 1235901612

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN SAMUEL GALDAMEZ (PA-C)
NPI
1235901612
Phone
(951) 687-8802
Address
9939 MAGNOLIA AVE
Enumeration Date
27 October 2023
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8555057467
Graduation Year
2023 (3 years ago)
PAC ID
0042655300
Group Practice PAC ID
5294785630
Professional Enrollment ID
I20240227002393
Address ID
CA925075340RI4022XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for BRIAN SAMUEL GALDAMEZ (PA-C)

  • 9939 MAGNOLIA AVE

    RIVERSIDE, CA 925033528

    Phone: (951) 687-8802

    Fax: (951) 848-9968

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Lilly USA, LLC ($125).

Total Amount

$144

General + Research + Ownership

Payments

2

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-02-27

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
I20240227002393IPhysician 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 92503)

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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: 5294785630View full group profile
NameSpecialtyState
Internal MedicineCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Family PracticeAZ
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRIAN SAMUEL GALDAMEZ (PA-C)?
BRIAN SAMUEL GALDAMEZ (PA-C) — NPI 1235901612 — is the standard way to identify this listing.
Can I rely on BRIAN SAMUEL GALDAMEZ (PA-C) being an active provider?
As of the registry snapshot, BRIAN SAMUEL GALDAMEZ (PA-C) is marked active.
What healthcare role does BRIAN SAMUEL GALDAMEZ (PA-C) hold?
Scheduling teams often label BRIAN SAMUEL GALDAMEZ (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does BRIAN SAMUEL GALDAMEZ (PA-C) serve?
BRIAN SAMUEL GALDAMEZ (PA-C)'s listing highlights Riverside, California; more addresses can appear in NPPES.
Why does BRIAN SAMUEL GALDAMEZ (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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