MARYAM NASERI DELUCIA (NPI# 1689012718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689012718 |
| Entity Type | Individual |
| Full Name | MARYAM NASERI DELUCIA |
| Other Name | MARYAM NASERI JABARI |
| Credential | PA |
| Practice Address |
2490 Hospital Dr Mountain View CA 94040-4122 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 6504048250 |
| Practice Fax Number | 6504048205 |
| Mailing Telephone | 6508535745 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA22960 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 87 Encina Ave, Palo Alto, CA 943012322 | 6508535745 | |
| 1501 Trousdale Dr, Burlingame, CA 940104506 | 6508535745 |
| Street Address |
2490 HOSPITAL DR |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788693 | Frank C Galli | Specialist | 2490 Hospital Dr, Suite 311, Mountain View, CA 94040 | 2005-05-24 |
| 1790222669 | Jazziel Ross Marasigan | Nurse Practitioner | 2490 Hospital Dr, Suite 309, Mountain View, CA 94040-4122 | 2017-01-30 |
| 1518327931 | Patrick Joseph Maguire | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2490 Hospital Dr, Suite 310, Mountain View, CA 94040-4122 | 2016-02-26 |
| 1053790691 | Samuel N Marcus Md Inc. | Internal Medicine | 2490 Hospital Dr, Suite 211, Mountain View, CA 94040-4122 | 2015-05-28 |
| 1093192312 | Kate Haisch | Dietitian, Registered | 2490 Hospital Dr, Mountain View, CA 94040-4122 | 2015-05-06 |
| 1710389887 | Intuitive Neurology Inc | Psychiatry & Neurology | 2490 Hospital Dr, Ste. #212, Mountain View, CA 94040-4122 | 2014-09-20 |
| 1891138475 | Peninsula Cardiovascular | Internal Medicine | 2490 Hospital Dr, Suite 212, Mountain View, CA 94040-4122 | 2013-04-12 |
| 1437497096 | Advanced Gi Endoscopy Inc | Internal Medicine | 2490 Hospital Dr, 211, Mountain View, CA 94040-4122 | 2013-01-16 |
| 1841551173 | Akemi Asao | Acupuncturist | 2490 Hospital Dr, Suite 103-1, Mountain View, CA 94040-4122 | 2012-06-04 |
| 1346519238 | Veronique Caty | Radiology | 2490 Hospital Dr, Suite 311, Mountain View, CA 94040-4122 | 2011-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
| Find all providers in zip 94040 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124219134 | Joan M West | Physician Assistant | 2490 Hospital Dr Ste 303, Mountain View, CA 94040-4124 | 2007-08-05 |
| 1235607508 | Hee Namgoong | Physician Assistant | 2490 Hospital Dr Ste 111, Mountain View, CA 94040-4126 | 2018-11-05 |
| 1497264246 | Shannon Dee Donegan | Physician Assistant | 2490 Hospital Dr Ste 111, Mountain View, CA 94040-4126 | 2017-09-25 |
| 1023409216 | Kari Mitchell | Physician Assistant | 2490 Hospital Dr Ste 111, Mountain View, CA 94040-4126 | 2015-02-10 |
| 1023163615 | Jessica Gwen Sheehan | Physician Assistant | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.