Alma Bustamante Dayanghirang, MD

Offices

1 location · Clinica Sierra Vista · 180 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Dayanghirang’s office at (559) 457-5300 to ask if they take your plan before you enroll.

California Medical Board record

Licence C167406 · Current

Licensed to practise in California · since 2019 · expires 2027-12-31 · University of the East, Ramon Magsaysay Memorial Medical Center.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

State licence records

1 licence

New Jersey 25MA09040900Medical Doctor · since 2012 · expires 2027-06-30
ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

American Board of Obstetrics and Gynecology - Obstetrics and Gynecology

Medicaid work

$241,841 in 2024

Medicaid paid $241,841 for 7,886 billed services this clinician did in 2024, up to 129 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Sort by

Largest Medicaid services in 2024

Clinic visit/encounter, all-inclusive	1,172	$241,580
Short return visit	366	$121
ANTEPARTUM CARE ONLY 4-6 VISITS	287	$121
URINE PREGNANCY TEST	404	$14
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy	1,182	$2
HEMOGLOBIN	203	$2
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)	1,192	$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)	125	$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)	26	$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)	1,046	$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)	325	$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)	44	$0

Sort by

Medicaid work by year

2024	7,886	19	129	$241,841
2023	7,060	18	104	$238,238
2022	7,502	16	127	$248,597
2021	3,832	13	116	$197,427
2020	20	1	12	$602
2019	135	3	17	$12,034
2018	44	3	15	$1,879

See the largest Medicaid services in earlier years

2023

Sort by

Largest Medicaid services in 2023

Clinic visit/encounter, all-inclusive	1,188	$238,175
Prenatal care, at-risk enhanced service; antepartum management	247	$60
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy	1,274	$2
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)	1,084	$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)	29	$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)	13	$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)	986	$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)	251	$0
ANTEPARTUM CARE ONLY 4-6 VISITS	328	$0
URINE PREGNANCY TEST	276	$0
HEMOGLOBIN	109	$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)	41	$0

2022

Sort by

Largest Medicaid services in 2022

Clinic visit/encounter, all-inclusive	1,264	$248,409
Prenatal care, at-risk enhanced service; antepartum management	535	$188
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)	1,268	$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)	30	$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)	1,096	$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)	297	$0
ANTEPARTUM CARE ONLY 4-6 VISITS	105	$0
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy	1,347	$0
URINE PREGNANCY TEST	140	$0
HEMOGLOBIN	36	$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)	36	$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use	17	$0

2021

Sort by

Largest Medicaid services in 2021

Clinic visit/encounter, all-inclusive	1,014	$197,425
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy	594	$2
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)	312	$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)	13	$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)	267	$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)	62	$0
URINE PREGNANCY TEST	204	$0
Short return visit	132	$0
Short return visit (20+ min)	491	$0
Prenatal care, at-risk enhanced service; antepartum management	236	$0
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	88	$0
Service	26	$0

2020

Sort by

Largest Medicaid services in 2020

FETAL NON-STRESS TEST	20	$602

2019

Sort by

Largest Medicaid services in 2019

ANTEPARTUM CARE ONLY 4-6 VISITS	103	$10,815
Short return visit (20+ min)	12	$643
FETAL NON-STRESS TEST	20	$576

2018

Sort by

Largest Medicaid services in 2018

ANTEPARTUM CARE ONLY 4-6 VISITS	13	$1,365
FETAL NON-STRESS TEST	16	$507
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy	15	$7

Drugs they prescribed that Part D paid

$5,152

Pharmacies billed $5,152 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 28) in 2024. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

18 generic and fewer than 11 brand-name prescriptions · $5,152 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Year by year

Sort by

Part D prescribing by year

2024	28	12	0% (0)	None	$5,152
2023	26	None	None	None	$3,332
2022	26	11	0% (0)	None	$3,570
2021	31	None	None	None	$2,118
2020	75	25	None	23%	$4,877
2019	154	67	0% (0)	35%	$10,857
2018	83	44	None	14%	$5,658
2017	170	79	None	17%	$14,833
2016	127	63	None	34%	$13,473
2015	173	70	None	27%	$18,398
2014	147	67	None	26%	$8,502
2013	63	23	None	24%	$4,183

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2020: 1 drug

Sort by

Part D drugs prescribed in 2020

Fluconazole	11	$70	$6

2019: 7 drugs

Sort by

Part D drugs prescribed in 2019

Premarin	11	$4,804	$437
Estradiol	11	$837	$76
Metronidazole	11	$559	$51
Nitrofurantoin Mono-Macro	11	$372	$34
Nystatin-Triamcinolone	18	$348	$19
Fluconazole	11	$88	$8
Misoprostol	16	$51	$3

2017: 4 drugs

Sort by

Part D drugs prescribed in 2017

Premarin	13	$4,261	$328
Clobetasol Propionate	13	$1,665	$128
Fluconazole	15	$274	$18
Metronidazole	14	$271	$19

2016: 2 drugs

Sort by

Part D drugs prescribed in 2016

Clobetasol Propionate	11	$1,060	$96
Misoprostol	15	$59	$4

2015: 6 drugs

Sort by

Part D drugs prescribed in 2015

Premarin	18	$4,651	$258
Vagifem	13	$4,649	$358
Estrace	11	$2,428	$221
Metronidazole	15	$341	$23
Fluconazole	12	$127	$11
Gabapentin	13	$39	$3

2014: 2 drugs

Sort by

Part D drugs prescribed in 2014

Premarin	11	$2,387	$217
Fluconazole	24	$310	$13

Money from drug and device companies

$220 in 2025

Sort by

Industry payments by year

2025	7	11	None	$220
2024	7	14	None	$326
2023	5	8	None	$544
2022	7	8	None	$191
2021	1	1	None	$16
2020	1	1	None	$16
2019	8	12	None	$157

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Sort by

Payments by company

Sumitomo Pharma America	Myfembree	$76	4 payments Meals for Myfembree · 2025-11-06 · $20 Meals for Myfembree · 2025-09-16 · $19 Meals for Myfembree · 2025-03-18 · $18 Meals for Myfembree · 2025-02-05 · $20
Exact Sciences	Cologuard Collection Kit	$48	2 payments Meals for The Cologuard Plus Collection Kit · 2025-11-04 · $21 Meals for Cologuard Collection Kit · 2025-01-28 · $27
Shield Therapeutics	Accrufer	$23	1 payment Meals for Accrufer · 2025-02-21 · $23
Organon	Nexplanon	$23	1 payment Meals for Nexplanon · 2025-05-06 · $23
Regeneron Healthcare Solutions	Dupixent	$19	1 payment Meals for Dupixent · 2025-07-28 · $19
Sage Therapeutics	Zurzuvae	$18	1 payment Meals for Zurzuvae · 2025-05-28 · $18

See all 11 published payments

Sort by

Every published payment

Sumitomo Pharma America	Meals · 2025-11-06	Myfembree	$20
Exact Sciences	Meals · 2025-11-04	The Cologuard Plus Collection Kit	$21
Sumitomo Pharma America	Meals · 2025-09-16	Myfembree	$19
Regeneron Healthcare Solutions	Meals · 2025-07-28	Dupixent	$19
Sage Therapeutics	Meals · 2025-05-28	Zurzuvae	$18
Organon	Meals · 2025-05-06	Nexplanon	$23
Cranial Technologies	Meals · 2025-03-19	Doc Band	$15
Sumitomo Pharma America	Meals · 2025-03-18	Myfembree	$18
Shield Therapeutics	Meals · 2025-02-21	Accrufer	$23
Sumitomo Pharma America	Meals · 2025-02-05	Myfembree	$20
Exact Sciences	Meals · 2025-01-28	Cologuard Collection Kit	$27

See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $326

Sort by

Payments by company in 2024

Shield Therapeutics	Accrufer	$90	4 payments Meals for Accrufer · 2024-08-12 · $30 Meals for Accrufer · 2024-05-24 · $21 Meals for Accrufer · 2024-03-05 · $20 Meals for Accrufer · 2024-02-07 · $19
Sumitomo Pharma America	Myfembree	$80	4 payments Meals for Myfembree · 2024-12-12 · $22 Meals for Myfembree · 2024-10-25 · $14 Meals for Myfembree · 2024-07-17 · $25 Meals for Myfembree · 2024-05-31 · $19
Sage Therapeutics	Zurzuvae	$44	2 payments Meals for Zurzuvae · 2024-11-22 · $25 Meals for Zurzuvae · 2024-10-15 · $18
Regeneron Healthcare Solutions	Dupixent	$35	1 payment Meals for Dupixent · 2024-01-31 · $35
Hologic Sales and Service	Aptima	$35	1 payment Meals for Aptima · 2024-07-31 · $35
Exact Sciences	Cologuard Collection Kit	$22	1 payment Meals for Cologuard Collection Kit · 2024-09-12 · $22
Agile Therapeutics	Twirla	$21	1 payment Meals for Twirla · 2024-04-18 · $21

2023: $544

Sort by

Payments by company in 2023

Hologic Sales and Service	Novasure	$307	3 payments Meals for Acessa Provu System · 2023-11-06 · $150 Meals for Novasure · 2023-05-17 · $30 Meals for Novasure · 2023-02-09 · $126
Cytyc Surgical Products	Acessa Provu System	$144	1 payment Meals for Acessa Provu System · 2023-11-07 · $144
Gilead Sciences	Epclusa	$39	1 payment Meals for Epclusa · 2023-09-27 · $39
Organon	Nexplanon	$36	2 payments Meals for Nexplanon · 2023-05-09 · $18 Meals for Nexplanon · 2023-04-19 · $18
Bayer Healthcare Pharmaceuticals	Mirena	$19	1 payment Meals for Mirena · 2023-03-27 · $19

2022: $191

Sort by

Payments by company in 2022

Becton Dickinson and	None	$47	1 payment Meals · 2022-03-18 · $47
Abbvie	Oriahnn	$42	2 payments Meals for Oriahnn · 2022-10-05 · $22 Meals for Lo Loestrin Fe · 2022-08-16 · $20
Sanofi Pasteur	Vaxelis	$26	1 payment Meals for Vaxelis · 2022-09-15 · $26
Abbott Laboratories	Freestyle Libre	$24	1 payment Meals for Freestyle Libre · 2022-12-06 · $24
Bayer HealthCare Pharmaceuticals	Mirena	$22	1 payment Meals for Mirena · 2022-11-08 · $22
TherapeuticsMD	Annovera	$16	1 payment Meals for Annovera · 2022-10-12 · $16
Applied Medical Resources	Gelpoint V-Path	$14	1 payment Meals for Gelpoint V-Path · 2022-06-11 · $14

2021: $16

Sort by

Payments by company in 2021

Hologic	Thinprep 2000 Processor	$16	1 payment Meals for Thinprep 2000 Processor · 2021-09-16 · $16

2020: $16

Sort by

Payments by company in 2020

Daiichi Sankyo	Injectafer	$16	1 payment Meals for Injectafer · 2020-01-08 · $16

2019: $157

Sort by

Payments by company in 2019

AbbVie	Orilissa	$62	5 payments Meals for Orilissa · 2019-11-19 · $12 Meals for Orilissa · 2019-09-19 · $11 Meals for Orilissa · 2019-07-26 · $11 Meals for Orilissa · 2019-04-24 · $15 Meals for Orilissa · 2019-02-28 · $13
Ethicon US	Harmonic Product Family	$18	1 payment Meals for Harmonic Product Family · 2019-10-09 · $18
Lupin	Solosec	$15	1 payment Meals for Solosec · 2019-05-22 · $15
TherapeuticsMD	Imvexxy	$15	1 payment Meals for Imvexxy · 2019-09-18 · $15
Millicent US	Femring	$13	1 payment Meals for Femring · 2019-09-16 · $13
Daiichi Sankyo	Injectafer	$12	1 payment Meals for Injectafer · 2019-11-20 · $12
Hologic	Novasure	$12	1 payment Meals for Novasure · 2019-05-09 · $12
Boston Scientific	Symphion	$11	1 payment Meals for Symphion · 2019-07-09 · $11

Professional record

NPI: 1902135577
Licence: CA 167406, NJ 25MA09040900California C167406: Current · expires 2027-12-31New Jersey 25MA09040900: Active
Group: Clinica Sierra Vista
Gender: Female

More record details

Sole proprietor: No
Taxonomy: Federal specialty code 207V00000X (207V00000X)
Mailing address: 2760 S Elm Ave, Fresno, CA, 93706
NPI first listed: 2009-12-10
NPI last updated: 2026-01-20
NPI record certified: 2026-01-20

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1303 E Herndon Ave Fl 4, Fresno, CA, 93720