BRADEN YZAGUIRRE
NPI 1861210452
Physician Assistant in San Bernardino, CA

Q: What is Braden Yzaguirre's NPI number?

The NPI number for Braden Yzaguirre is 1861210452. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Q: What is Braden Yzaguirre's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Braden Yzaguirre was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment

2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 379-9794 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 24, 2024, Oct 1, 2024 (2 updates tracked since 2024).

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About Braden Yzaguirre NPPES

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

BRADEN YZAGUIRRE (NPI 1861210452) is an individual physician assistant in San Bernardino, California, licensed in California (PA65348) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861210452

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRADEN YZAGUIRRE

Location Address2101 N WATERMAN AVESan Bernardino, CA 92404-4836

Mailing Address152 E Hilton AveRedlands, CA 92373-6879 · (909) 379-9794

Phone(909) 379-9794

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 1, 2024

Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1861210452 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 · PA65348

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.

2101 N WATERMAN AVE, San Bernardino, CA 92404

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Secondary Practice Location 1

Location 14371 Latham StRiverside, CA 92501-1706 · Phone (833) 867-4642

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

Braden Yzaguirre 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 ID6103353248

PECOS Enrollment IDI20241231001316

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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.

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.

NICHOLAS WALTHER PA-C

Physician Assistant (Medical)