MARYAM MOSLEMI – Physician Assistant, NPI 1316506629

MARYAM MOSLEMI is a healthcare provider. based in Chico, California. specializing in PHYSICIAN ASSISTANT. The NPI Number for MARYAM MOSLEMI is 1316506629

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MARYAM MOSLEMI
NPI
1316506629
Phone
(530) 332-4526
Address
1720 ESPLANADE
Enumeration Date
10 June 2019
Last Update Date
27 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5303323808
Graduation Year
2019 (7 years ago)
PAC ID
1153752407
Group Practice PAC ID
7416111893
Professional Enrollment ID
I20200520003381
Address ID
CA959262273CH265XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MARYAM MOSLEMI

  • 1720 ESPLANADE

    CHICO, CA 959263315

    Phone: (530) 332-4526

    Fax: (530) 893-6984

    Type: Mailing

  • 5900 COYLE AVE STE A

    CARMICHAEL, CA 956080400

    Phone: (916) 332-1210

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200520003381IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes176137$0
19301Partial removal of breast3835$0
14301Repair of wound by transferring skin, 30.1-60.0 sq cm2222$0
View full utilization report →

Insurance plans in this area (ZIP 95926)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416111893View full group profile
NameSpecialtyState
General SurgeryHI
Hematology, Hematology/OncologyNM
Physician AssistantCA
H E M A T O L O G Y/ O N C O L O G YCA
Physician AssistantCA
Registered Dietitian Or Nutrition ProfessionalCA
Hematology/Oncology, Internal Medicine, Internal Medicine, Hematology/OncologyCA
H E M A T O L O G Y/ O N C O L O G YCA
Hematology/Oncology, Internal MedicineNY
Physician AssistantCA

Reviews

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Frequently asked questions

How is MARYAM MOSLEMI identified in CMS data?
CMS-hosted NPPES data lists MARYAM MOSLEMI with NPI 1316506629.
Can I rely on MARYAM MOSLEMI being an active provider?
As of the registry snapshot, MARYAM MOSLEMI is marked active.
What healthcare role does MARYAM MOSLEMI hold?
Scheduling teams often label MARYAM MOSLEMI under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MARYAM MOSLEMI based?
MARYAM MOSLEMI is tied to Chico, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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