MS. ALYVIAH DURHAM PA-C
NPI 1275289746
Dermatology in Glendora, CA

Active since February 23, 2022PECOS EnrolledAccepts Medicare Assignment
2301 E FOOTHILL BLVD, GLENDORA, CA 91740(626) 852-3376 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Alyviah Durham Pa-c NPPES

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

MS. ALYVIAH DURHAM PA-C (NPI 1275289746) is an individual dermatology provider in Glendora, California, licensed in California (PA60807) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Cucamonga, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275289746
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMS. ALYVIAH DURHAMCredential: PA-C
Location Address2301 E FOOTHILL BLVDGlendora, CA 91740-4000
Mailing Address2363 1st St Unit 25La Verne, CA 91750-5527 · (217) 827-7312
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
NPI 1275289746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · PA60807
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2301 E FOOTHILL BLVD, Glendora, CA 91740

Secondary Practice Location 1

Location 110470 Foothill Blvd Unit 127Rancho Cucamonga, CA 91730-3754 · Phone (909) 312-4356

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Alyviah Durham Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799148474
PECOS Enrollment IDI20230829000327
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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
4,400 services20 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
291 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
241 services169 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
99 services85 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
93 services70 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
71 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
2301 E FOOTHILL BLVD, SUITE 100
GLENDORA, CA 91740
Specialist
2301 E FOOTHILL BLVD, STE 100
GLENDORA, CA 91740
Clinic/Center (Ambulatory Surgical)
2301 E FOOTHILL BLVD, SUITE 200
GLENDORA, CA 91740
Physician Assistant
2301 E FOOTHILL BLVD, SUITE 100
GLENDORA, CA 91740
Physician Assistant
2301 E FOOTHILL BLVD, SUITE 100
GLENDORA, CA 91740
Physician Assistant
2301 E FOOTHILL BLVD
GLENDORA, CA 91740
Specialist
2301 E FOOTHILL BLVD, 100
GLENDORA, CA 91740
Specialist
2301 E FOOTHILL BLVD, SUITE 100
GLENDORA, CA 91740

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 Alyviah Durham's NPI number?

The NPI number for Alyviah Durham is 1275289746. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Where is Alyviah Durham located?

Alyviah Durham practices at 2301 E Foothill Blvd, Glendora, CA 91740. The listed phone number is (626) 852-3376.

What is Alyviah Durham's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Alyviah Durham enrolled in Medicare?

Yes. Alyviah Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alyviah Durham was last updated on February 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.