Individual provider Active NPI

Mary Alicia Delsol, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Dana Point, CA
National Provider Identifier
1629030994
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D32544 Issued in CA
Practice address
32241 Crown Valley Pkwy
Ste. 220
Dana Point, CA 92629-3346
Phone
(949) 240-2280
Fax
(949) 240-2619
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D32544 CA Primary

Addresses

Primary practice location

32241 Crown Valley Pkwy
Ste. 220
Dana Point, CA 92629-3346

Mailing address

32241 Crown Valley Pkwy
Ste. 220
Dana Point, CA 92629-3346
Phone (949) 240-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D32544CAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629030994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32241 CROWN VALLEY PKWY",
            "address_2": "STE. 220",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293346",
            "telephone_number": "949-240-2280",
            "fax_number": "949-240-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32241 CROWN VALLEY PKWY",
            "address_2": "STE. 220",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293346",
            "telephone_number": "949-240-2280",
            "fax_number": "949-240-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELSOL",
        "first_name": "MARY",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "D32544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.