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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MIA SIMONE SHORT
NPI 1649845470
Counselor - Professional in San Francisco, CA

Active since May 24, 2021
1001 POTRERO AVE, SAN FRANCISCO, CA 94110(415) 206-5270 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2021, May 24, 2021 (2 updates tracked since 2021).

About Mia Simone Short NPPES

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

MIA SIMONE SHORT (NPI 1649845470) is an individual professional provider in San Francisco, California, licensed in California (22964) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1649845470
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIA SIMONE SHORT
Location Address1001 POTRERO AVESan Francisco, CA 94110-3518
Mailing Address3601 Wall AveRichmond, CA 94804-3247
Phone(415) 206-5270
Sole ProprietorNo
Enumeration DateMay 24, 2021
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1649845470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 22964
1001 POTRERO AVE, San Francisco, CA 94110
Open in Google Maps ↗

Other Providers at the Same Location NPPES 19

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

JENNIFER LEGGETT NP
Nurse Practitioner (Acute Care)
1001 POTRERO AVE, ROOM 3B13
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-4073
BRIAN D MCBETH MD
Emergency Medicine
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8000
JODI MCKEOWN PA-C
Physician Assistant (Medical)
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8303
DR. SUSAN A. FISHER-OWENS MD
Pediatrics
1001 POTRERO AVE, MAIL STOP 6E
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8361
TERESA DEPINERES MD
Obstetrics & Gynecology
1001 POTRERO AVE, RM 6D14
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5679
TODD ANTHONY MAY MD
Family Medicine
1001 POTRERO AVE, BLDG 80 WARD 83
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8651
GEOFFREY TODD MANLEY MD PHD
Neurological Surgery
1001 POTRERO AVE, BUILDING 1, ROOM 101
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-4536
VANESSA LOUISE JACOBY MD
Obstetrics & Gynecology
1001 POTRERO AVE, RM 6D14
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5679

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 Short's NPI number?

The NPI number for Mia Short is 1649845470. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Mia Short located?

Mia Short practices at 1001 Potrero Ave, San Francisco, CA 94110. The listed phone number is (415) 206-5270.

What is Mia Short's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mia Short was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.