MS. KAYLA BROOKE MENJIVAR NP
NPI 1003612060
Nurse Practitioner - Family in Santa Maria, CA
About Ms. Kayla Brooke Menjivar Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KAYLA BROOKE MENJIVAR NP (NPI 1003612060) is an individual family provider in Santa Maria, California, licensed in California (95031486) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kayla Brooke Menjivar Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kayla Menjivar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Maria, CA 93454
- Reassigned Medicare billing, California enrollment
- 213 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA MARIA, CA 93454
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kayla Menjivar's NPI number?
The NPI number for Kayla Menjivar is 1003612060. It was assigned to this individual provider in the NPPES registry on February 20, 2025.
Where is Kayla Menjivar located?
Kayla Menjivar practices at 1418 E Main St Ste 210, Santa Maria, CA 93454. The listed phone number is (805) 928-3678.
What is Kayla Menjivar's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kayla Menjivar enrolled in Medicare?
Yes. Kayla Menjivar is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kayla Menjivar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Menjivar reassigns Medicare benefits to Community Health Centers Of The Central Coast Inc (Santa Maria, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kayla Menjivar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kayla Menjivar was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Kayla Brooke Menjivar, NP · NPI 1003612060
Family physician in Santa Maria, California. Individual provider, active in the CMS NPPES registry since February 20, 2025.
## Identity
- **NPI:** 1003612060 (Entity type: Individual)
- **Enumerated:** February 20, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95031486 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1418 E MAIN ST STE 210, Santa Maria, CA 93454-4836
- **Phone:** (805) 928-3678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Health Centers Of The Central Coast Inc (NPI 1174859425, Santa Maria, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003612060) · Data from the CMS NPPES public registry.