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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARY ALICIA DELSOL D.D.S.
NPI 1629030994
Dentist - Oral and Maxillofacial Surgery in Dana Point, CA

Active since April 03, 2006Opted out of Medicare · through Oct 1, 2027
32241 CROWN VALLEY PKWY, STE. 220, DANA POINT, CA 92629(949) 240-2280(949) 240-2619 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Alicia Delsol D.d.s. NPPES

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

DR. MARY ALICIA DELSOL D.D.S. (NPI 1629030994) is an individual oral and maxillofacial surgery provider in Dana Point, California, licensed in California (D32544) and active in the NPI registry since April 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629030994
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARY ALICIA DELSOLCredential: D.D.S.
Location Address32241 CROWN VALLEY PKWY, STE. 220Dana Point, CA 92629-3346
Mailing Address32241 Crown Valley Pkwy, Ste. 220Dana Point, CA 92629-3346 · (949) 240-2280 · Fax (949) 240-2619
Phone(949) 240-2280
Fax(949) 240-2619
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1629030994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · D32544
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
32241 CROWN VALLEY PKWY, Dana Point, CA 92629
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Alicia Delsol D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92629 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK N. MONTGOMERY D.D.S.
Dentist (General Practice)
32241 CROWN VALLEY PKWY, SUITE 240
MONARCH BEACH, CA 92629
Orange County (949) 493-3333
DR. STEVEN ANDREW MARGULIES DDS
Dentist (General Practice)
32241 CROWN VALLEY PKWY, #270
MONARCH BEACH, CA 92629
Orange County (949) 240-7547
DR. DAVID JAY BRANDOM DDS
Dentist
32241 CROWN VALLEY PKWY, STE 230
DANA POINT, CA 92629
Orange County (949) 496-2801
MARK N. MONTGOMERY, D.D.S., INC.
Dentist (General Practice)
32241 CROWN VALLEY PKWY, SUITE 240
MONARCH BEACH, CA 92629
Orange County (949) 493-3333

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 Mary Delsol's NPI number?

The NPI number for Mary Delsol is 1629030994. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Mary Delsol located?

Mary Delsol practices at 32241 Crown Valley Pkwy Ste. 220, Dana Point, CA 92629. The listed phone number is (949) 240-2280.

What is Mary Delsol's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mary Delsol enrolled in Medicare?

No. Mary Delsol has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Delsol was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.