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

MIA KATHLEEN MAURICIO TABAGO FNP
NPI 1396326856
Nurse Practitioner - Family in Alpine, CA

Active since April 16, 2021
1832 ALPINE BLVD STE B, ALPINE, CA 91901(619) 326-4445 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 11, 2026, May 6, 2021, Apr 16, 2021 (3 updates tracked since 2021).

About Mia Kathleen Mauricio Tabago Fnp NPPES

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

MIA KATHLEEN MAURICIO TABAGO FNP (NPI 1396326856) is an individual family provider in Alpine, California, licensed in California (95040457) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1396326856
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIA KATHLEEN MAURICIO TABAGOCredential: FNP
Location Address1832 ALPINE BLVD STE BAlpine, CA 91901-2107
Mailing Address1832 Alpine Blvd Ste BAlpine, CA 91901-2107 · (619) 326-4445
Phone(619) 326-4445
Sole ProprietorYes
Enumeration DateApril 16, 2021
Last NPPES UpdateJuly 11, 20263 updates tracked since enumeration
NPPES CertifiedJuly 11, 2026
✔ NPI 1396326856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95040457
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License 95226737 (CA)
1832 ALPINE BLVD STE B, Alpine, CA 91901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MR. DAVID MCNEEL DUNLAP PA-C
Physician Assistant (Medical)
1832 ALPINE BLVD STE B
ALPINE, CA 91901
San Diego County (619) 326-4445
KRINA PATEL
Nurse Practitioner (Family)
1832 ALPINE BLVD STE B
ALPINE, CA 91901
San Diego County (619) 326-4445

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 Mia Kathleen Tabago's NPI number?

The NPI number for Mia Kathleen Tabago is 1396326856. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Mia Kathleen Tabago located?

Mia Kathleen Tabago practices at 1832 Alpine Blvd Ste B, Alpine, CA 91901. The listed phone number is (619) 326-4445.

What is Mia Kathleen Tabago's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mia Kathleen Tabago was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.