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

Mia Nadine Benton

Individual provider Physician Assistant · NPI 1568953578

Mia Nadine Benton is a Physician Assistant in San Diego, California. Qualified in 2018, 8 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 317 W Pueblo St, Santa Barbara, CA 93105-4310 — (805) 898-3138

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 57428 (CA)

Record details

NPI number1568953578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2018
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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