MY DIEP DO
NPI 1912584657
Dermatology in Loma Linda, CA

Active since March 27, 2021PECOS EnrolledAccepts Medicare Assignment
25865 BARTON RD STE 101 BLDG D, LOMA LINDA, CA 92354(909) 558-2890 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About My Diep Do NPPES

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

MY DIEP DO (NPI 1912584657) is an individual dermatology provider in Loma Linda, California, licensed in California (20A23759) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912584657
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMY DIEPCredential: DO
Location Address25865 BARTON RD STE 101 BLDG DLoma Linda, CA 92354
Mailing Address25865 Barton Rd Ste 101 Bldg DLoma Linda, CA 92354 · (909) 558-2890
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 27, 2021
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1912584657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · 20A23759
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.
25865 BARTON RD STE 101 BLDG D, Loma Linda, CA 92354

Secondary Practice Location 1

Location 127100 Chardon RdCleveland, OH 44143-1192 · Phone (440) 585-6500

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

My Diep Do 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 ID9537674692
PECOS Enrollment IDI20250716003400
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 92354 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.

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 My Diep's NPI number?

The NPI number for My Diep is 1912584657. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is My Diep located?

My Diep practices at 25865 Barton Rd Ste 101 Bldg D, Loma Linda, CA 92354. The listed phone number is (909) 558-2890.

What is My Diep's specialty?

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

Is My Diep enrolled in Medicare?

Yes. My Diep 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 My Diep was last updated on August 1, 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.