Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mia Kimiko Desoto

Individual provider Nurse Practitioner · NPI 1528986940

Mia Kimiko Desoto is a Nurse Practitioner in Fairfield, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1860 Pennsylvania Ave Ste 230
Fairfield, CA 94533-3550
Phone: (707) 646-4370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95038894 (CA)

Record details

NPI number1528986940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

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