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OMAYRA MONTALVO PA
NPI 1114354404
Physician Assistant - Medical in Brawley, CA

Active since October 01, 2013PECOS Enrolled
900 MAIN ST, BRAWLEY, CA 92227(760) 344-6471(760) 344-8410 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omayra Montalvo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMAYRA MONTALVO PA (NPI 1114354404) is an individual medical provider in Brawley, California, licensed in California (23182) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114354404
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameOMAYRA MONTALVOCredential: PA
Location Address900 MAIN STBrawley, CA 92227-2630
Mailing Address1136 Calle Del SolBrawley, CA 92227-7747 · (760) 344-9951
Phone(760) 344-6471
Fax(760) 344-8410
Sole ProprietorNo
Enumeration DateOctober 1, 2013
✔ NPI 1114354404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 23182
900 MAIN ST, Brawley, CA 92227
Open in Google Maps ↗

Other Identifiers 1

Medicaid1649269747CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omayra Montalvo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
2 suppliers12 claims24 services$0.44 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers108 claims206 services$6.32 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers20 claims20 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers68 claims91 services$1.07 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers28 claims28 services$183.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAUNE-ELISABET CHRISTENSEN-CRAIG CARLISLE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
900 MAIN ST
BRAWLEY, CA 92227
Imperial County (760) 344-6471
ANA GABRIELA DUARTE MSN, APRN, FNP-C
Nurse Practitioner (Family)
900 MAIN ST
BRAWLEY, CA 92227
Imperial County (760) 344-6471
DINA A. JACKSON PA-C
Physician Assistant
900 MAIN ST
BRAWLEY, CA 92227
Imperial County (559) 213-0297
DR. SHIRISH K BALACHANDRA MD
Family Medicine
900 MAIN ST
BRAWLEY, CA 92227
Imperial County (858) 327-4943
SALMA FOROOZAN PA-C
Physician Assistant
900 MAIN ST
BRAWLEY, CA 92227
Imperial County (760) 344-6471
GABRIELLE SUZANNE CLAYTON NP
Nurse Practitioner (Family)
900 MAIN ST
BRAWLEY, CA 92227
Imperial County (760) 344-6471
BEE L BEARD NP
Nurse Practitioner (Family)
900 MAIN ST
BRAWLEY, CA 92227
Imperial County (760) 344-6471
DULCE ISELA MAYORAL CINCO APRN,MSN,FNP-C
Nurse Practitioner (Family)
900 MAIN ST
BRAWLEY, CA 92227
Imperial County (760) 344-6471

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 Omayra Montalvo's NPI number?

The NPI number for Omayra Montalvo is 1114354404. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Omayra Montalvo located?

Omayra Montalvo practices at 900 Main St, Brawley, CA 92227. The listed phone number is (760) 344-6471.

What is Omayra Montalvo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Omayra Montalvo enrolled in Medicare?

Yes. Omayra Montalvo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omayra Montalvo was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.