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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MIA KIMIKO DESOTO
NPI 1528986940
Nurse Practitioner in Fairfield, CA

Active since July 06, 2026
1860 PENNSYLVANIA AVE STE 230, FAIRFIELD, CA 94533(707) 646-4370 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mia Kimiko Desoto NPPES

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

MIA KIMIKO DESOTO (NPI 1528986940) is an individual nurse practitioner in Fairfield, California, licensed in California (95038894) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1528986940
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIA KIMIKO DESOTO
Location Address1860 PENNSYLVANIA AVE STE 230Fairfield, CA 94533-3550
Mailing Address313 Shaker DrVacaville, CA 95687-8022
Phone(707) 646-4370
Sole ProprietorNo
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1528986940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95038894
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1860 PENNSYLVANIA AVE STE 230, Fairfield, CA 94533
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Other Providers at the Same Location NPPES

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

NORTHBAY HEALTHCARE GROUP
Psychiatry & Neurology (Addiction Medicine)
1860 PENNSYLVANIA AVE STE 230
FAIRFIELD, CA 94533
Solano County (707) 646-4370

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 Desoto's NPI number?

The NPI number for Mia Desoto is 1528986940. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Mia Desoto located?

Mia Desoto practices at 1860 Pennsylvania Ave Ste 230, Fairfield, CA 94533. The listed phone number is (707) 646-4370.

What is Mia Desoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mia Desoto was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.