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MARYAM NASERI DELUCIA PA
NPI 1689012718
Physician Assistant - Surgical in Mountain View, CA

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment
2490 HOSPITAL DR STE 210, MOUNTAIN VIEW, CA 94040(408) 871-3400(650) 404-8205 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Oct 8, 2020, May 28, 2020 (3 updates tracked since 2020).

About Maryam Naseri Delucia Pa NPPES

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

MARYAM NASERI DELUCIA PA (NPI 1689012718) is an individual surgical provider in Mountain View, California, licensed in California (PA22960) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Stanford University School Of Medicine (2013).

NPPES Registry Identity

NPI1689012718
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARYAM NASERI DELUCIACredential: PA
Location Address2490 HOSPITAL DR STE 210Mountain View, CA 94040-4117
Mailing Address973 University AveLos Gatos, CA 95032-7636 · (408) 871-3200
Phone(408) 871-3400
Fax(650) 404-8205
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2013
Enumeration DateJune 11, 2013
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1689012718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA22960
2490 HOSPITAL DR STE 210, Mountain View, CA 94040
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Other Names 1

Former Name (1)Maryam Naseri Jabari Pa

Secondary Practice Locations 2

Location 187 Encina AvePalo Alto, CA 94301-2322 · Phone (650) 853-5745
Location 21501 Trousdale DrBurlingame, CA 94010-4506 · Phone (650) 853-5745

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

Maryam Naseri Delucia Pa 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 ID8820226137
PECOS Enrollment IDI20140113001664
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
13 services13 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
13 services13 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EDWARD HAHM PA
Physician Assistant
2490 HOSPITAL DR STE 210
MOUNTAIN VIEW, CA 94040
Santa Clara County (408) 871-3400
CAROLINA CHONG LIAO
Physician Assistant
2490 HOSPITAL DR STE 210
MOUNTAIN VIEW, CA 94040
Santa Clara County (408) 871-3400
DR. LARRY H. KRETCHMAR MD
Urology
2490 HOSPITAL DR STE 210
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 962-4662
WILSON KEE PA
Physician Assistant
2490 HOSPITAL DR STE 210
MOUNTAIN VIEW, CA 94040
Santa Clara County (408) 871-3400

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 Maryam Delucia's NPI number?

The NPI number for Maryam Delucia is 1689012718. It was assigned to this individual provider in the NPPES registry on June 11, 2013. The provider is also known as Maryam Naseri Jabari PA.

Where is Maryam Delucia located?

Maryam Delucia practices at 2490 Hospital Dr Ste 210, Mountain View, CA 94040. The listed phone number is (408) 871-3400.

What is Maryam Delucia's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Maryam Delucia enrolled in Medicare?

Yes. Maryam Delucia 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 Maryam Delucia was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.