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

DR. MIA MALVESTUTO DO
NPI 1134816168
Family Medicine - Adult Medicine in San Diego, CA

Q: What is Mia Malvestuto's NPI number?

The NPI number for Mia Malvestuto is 1134816168. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Q: What is Mia Malvestuto's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Mia Malvestuto was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 19, 2023PECOS Enrolled

8975 BALBOA AVE, SAN DIEGO, CA 92123(858) 499-2600 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dr. Mia Malvestuto Do NPPES

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

DR. MIA MALVESTUTO DO (NPI 1134816168) is an individual adult medicine provider in San Diego, California, licensed in California (20A24550) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134816168

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameDR. MIA MALVESTUTOCredential: DO

Location Address8975 BALBOA AVESan Diego, CA 92123-1507

Mailing Address8975 Balboa AveSan Diego, CA 92123-1507 · (858) 499-2600

Phone(858) 499-2600

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 19, 2023

Last NPPES UpdateSeptember 11, 2026

NPPES CertifiedSeptember 11, 2026

✔ NPI 1134816168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in CA · 20A24550

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

8975 BALBOA AVE, San Diego, CA 92123

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mia Malvestuto Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375000490

PECOS Enrollment IDI20260810000220

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

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 7

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

SHARP HEALTHCARE

Pharmacy (Community/Retail Pharmacy)