Individual provider · Type 1 NPI

Mai Xiong Pesusic, PA-C

Physician Assistant · Stanford, CA

NPI number 1669634713 Active

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Other practice locations

  • 400 Taylor Blvd, Suite 202, Pleasant Hill, CA 94523-2147 · (925) 677-5041

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2266 (WI)
Physician Assistant Primary 363A00000X21681 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1669634713

Mai Xiong Pesusic, PA-C's National Provider Identifier is 1669634713, issued on Jun 30, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stanford, CA. The record was last updated on Sep 10, 2025.