DIBA IZADYAR PA-C
NPI 1710520671
Physician Assistant in Upland, CA

Active since October 23, 2019PECOS EnrolledAccepts Medicare Assignment
99.12/100
CMS Quality Rating
1100 SAN BERNARDINO RD STE 1100, UPLAND, CA 91786(909) 949-2242(909) 981-5783 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 20, 2022, Oct 23, 2019 (2 updates tracked since 2019).

About Diba Izadyar Pa-c NPPES

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

DIBA IZADYAR PA-C (NPI 1710520671) is an individual physician assistant in Upland, California, licensed in California (57199) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710520671
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDIBA IZADYARCredential: PA-C
Location Address1100 SAN BERNARDINO RD STE 1100Upland, CA 91786-4952
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Fax(909) 981-5783
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 23, 2019
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1710520671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 57199
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1100 SAN BERNARDINO RD STE 1100, Upland, CA 91786

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

Diba Izadyar 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 ID6507284981
PECOS Enrollment IDI20200916003242
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
344 services192 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
33 services26 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.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Hematology & Oncology)
1100 SAN BERNARDINO RD STE 1100
UPLAND, CA 91786
Surgery (Surgical Oncology)
1100 SAN BERNARDINO RD STE 1100
UPLAND, CA 91786
Surgery (Surgical Oncology)
1100 SAN BERNARDINO RD STE 1100
UPLAND, CA 91786
Family Medicine (Hospice and Palliative Medicine)
1100 SAN BERNARDINO RD STE 1100
UPLAND, CA 91786
Internal Medicine (Hematology & Oncology)
1100 SAN BERNARDINO RD STE 1100
UPLAND, CA 91786
Nurse Practitioner (Gerontology)
1100 SAN BERNARDINO RD STE 1100
UPLAND, CA 91786
Radiology (Radiation Oncology)
1100 SAN BERNARDINO RD STE 1100
UPLAND, CA 91786
Internal Medicine (Hematology & Oncology)
1100 SAN BERNARDINO RD STE 1100
UPLAND, CA 91786

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710520671, enumerated as an "individual" on October 23, 2019.

The provider is located at 1100 SAN BERNARDINO RD STE 1100 UPLAND, CA 91786 and the phone number is (909) 949-2242.

Physician Assistant with taxonomy code 363A00000X.