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

Nia Aisha Carty

Individual provider Family Medicine Physician · NPI 1417535634

Nia Aisha Carty is a Family Practice in Vallejo, California. Graduated from University of Southern California Keck School of Medicine in 2021, 5 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

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

975 Sereno Dr
Vallejo, CA 94589-2441
Phone: (707) 651-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A187195 (CA)

Record details

NPI number1417535634
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESDecember 30, 2024
Certification dateMarch 25, 2024
Mailing address2215 Alcazar St, Los Angeles, CA 90033-1003

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Vallejo