Rafael Montalvo, M.D.
NPI 1568722007 · Family Medicine Physician · Mission Hills, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Montalvo, M.D. is a Family Medicine Physician provider in Mission Hills, CA (NPI 1568722007).
Provider details
- NPI number
- 1568722007
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A132041 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
311 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 95 | $137 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 47 | $96 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 | 43 | $35 |
| Automated Urinalysis Test81003 | 34 | $2 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 26 | $16 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 19 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 74 | 71 |
| Azithromycin | 65 | 64 |
| Tramadol Hcl/Acetaminophenbrand: Tramadol Hcl-Acetaminophen | 45 | 44 |
| Methylprednisolone | 28 | 27 |
| Baclofen | 24 | 24 |
| Cefdinir | 24 | 24 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 23 | 22 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-17
- Last updated
- 2022-07-21
Frequently asked questions
- What is Rafael Montalvo's NPI number?
- Rafael Montalvo's National Provider Identifier (NPI) is 1568722007, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Montalvo's specialty?
- Rafael Montalvo is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Montalvo located?
- Rafael Montalvo's practice location on file with NPPES is 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116.
- What is Rafael Montalvo's phone number?
- The practice phone number listed in the NPPES registry for Rafael Montalvo is (818) 365-9531.
- Does Rafael Montalvo accept Medicare?
- Rafael Montalvo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Montalvo's NPI active?
- Yes — Rafael Montalvo's NPI (1568722007) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.