1. Home
  2. Directory
  3. California
  4. San Diego
  5. Physician Assistant
  6. NPI Profile

SOPHIA MIRTH
NPI 1326893629
Physician Assistant in San Diego, CA

Active since April 19, 2024PECOS Enrolled
15004 INNOVATION DR, SAN DIEGO, CA 92128(858) 605-7969 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Apr 19, 2024 (2 updates tracked since 2024).

About Sophia Mirth NPPES

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

SOPHIA MIRTH (NPI 1326893629) is an individual physician assistant in San Diego, California, licensed in California (PA67644) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1326893629
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOPHIA MIRTH
Location Address15004 INNOVATION DRSan Diego, CA 92128-3491
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 605-7969
Phone(858) 605-7969
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 19, 2024
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1326893629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA67644
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
15004 INNOVATION DR, San Diego, CA 92128
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Mirth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082182621
PECOS Enrollment IDI20260501002523
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 92128 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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 20

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

MS. MARGARET ANN FULLER
Occupational Therapist (Physical Rehabilitation)
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7189
JON GARRELTS
Physical Therapist (Sports)
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7189
TAYLOR LYNN ROMERO NP
Nurse Practitioner (Women's Health)
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 240-8974
DR. PAULA GRAYSON
Pediatrics
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7969
DR. MATTHEW J. PERL M.D.
Emergency Medicine
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7171
DR. MICHAEL DAVID LEE M.D.
Family Medicine
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800
PATRICE SNYDER
Occupational Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800
AMY JOELLE CHAMBERLAIN PT
Physical Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7189

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 Sophia Mirth's NPI number?

The NPI number for Sophia Mirth is 1326893629. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Sophia Mirth located?

Sophia Mirth practices at 15004 Innovation Dr, San Diego, CA 92128. The listed phone number is (858) 605-7969.

What is Sophia Mirth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sophia Mirth enrolled in Medicare?

Yes. Sophia Mirth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Mirth was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.