ALYSSA DER MUGRDECHIAN MD
NPI 1952863060
Family Medicine in Clovis, CA

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
2071 HERNDON AVE, CLOVIS, CA 93611(559) 324-5100 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2022, Sep 18, 2020, Apr 5, 2019 (3 updates tracked since 2019).

About Alyssa Der Mugrdechian Md NPPES

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

ALYSSA DER MUGRDECHIAN MD (NPI 1952863060) is an individual family medicine provider in Clovis, California, licensed in California (A180049) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bakersfield, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952863060
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALYSSA DER MUGRDECHIANCredential: MD
Location Address2071 HERNDON AVEClovis, CA 93611-6101
Mailing Address416 W Sample AveClovis, CA 93612-5734
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 5, 2019
Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1952863060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A180049
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License PTL487 (CA)
2071 HERNDON AVE, Clovis, CA 93611

Secondary Practice Location 1

Location 17800 Niles StBakersfield, CA 93306-4922 · Phone (661) 328-4284

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

Alyssa Der Mugrdechian Md 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 ID2264851351
PECOS Enrollment IDI20221028001921
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 93611 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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.

Obstetrics & Gynecology (Obstetrics)
2071 HERNDON AVE
CLOVIS, CA 93611
Obstetrics & Gynecology
2071 HERNDON AVE
CLOVIS, CA 93611
Physical Medicine & Rehabilitation
2071 HERNDON AVE
CLOVIS, CA 93611
Internal Medicine
2071 HERNDON AVE
CLOVIS, CA 93611
Pain Medicine (Pain Medicine)
2071 HERNDON AVE
CLOVIS, CA 93611
Internal Medicine
2071 HERNDON AVE
CLOVIS, CA 93611
Obstetrics & Gynecology
2071 HERNDON AVE
CLOVIS, CA 93611
Obstetrics & Gynecology
2071 HERNDON AVE
CLOVIS, CA 93611

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 Alyssa Der Mugrdechian's NPI number?

The NPI number for Alyssa Der Mugrdechian is 1952863060. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Alyssa Der Mugrdechian located?

Alyssa Der Mugrdechian practices at 2071 Herndon Ave, Clovis, CA 93611. The listed phone number is (559) 324-5100.

What is Alyssa Der Mugrdechian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alyssa Der Mugrdechian enrolled in Medicare?

Yes. Alyssa Der Mugrdechian 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 Alyssa Der Mugrdechian was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.