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

Mia Michelle MA

Individual provider Diagnostic Radiology Physician · NPI 1316527062

Mia Michelle MA is a Diagnostic Radiology in San Francisco, California. Graduated from Wayne State University School of Medicine in 2021, 5 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
5
Trained at
Wayne State University School of Medicine
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone: (415) 353-9056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1001 Potrero Ave, San Francisco, CA 94110-3510 — (628) 206-8020
  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (248) 770-6989

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A206454 (CA)

Record details

NPI number1316527062
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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