NIA AISHA CARTY
NPI 1417535634
Family Medicine in Vallejo, CA
About Nia Aisha Carty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIA AISHA CARTY (NPI 1417535634) is an individual family medicine provider in Vallejo, California, licensed in California (A187195) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nia Aisha Carty is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Nia Carty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Oxnard, CA 93036
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94589 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
VALLEJO, CA 94589
VALLEJO, CA 94589
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 Nia Carty's NPI number?
The NPI number for Nia Carty is 1417535634. It was assigned to this individual provider in the NPPES registry on March 30, 2021.
Where is Nia Carty located?
Nia Carty practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 651-1000.
What is Nia Carty's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nia Carty enrolled in Medicare?
Yes. Nia Carty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nia Carty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nia Carty reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Vallejo, CA) and Southern California Permanente Medical Group (Oxnard, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nia Carty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nia Carty was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Nia Aisha Carty · NPI 1417535634
Family Medicine physician in Vallejo, California. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1417535634 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A187195 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 975 SERENO DR, Vallejo, CA 94589-2441
- **Phone:** (707) 651-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA); Southern California Permanente Medical Group (NPI 1275756652, Oxnard, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** December 30, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1417535634) · Data from the CMS NPPES public registry.