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

Stephanie Mita

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1669836763

Stephanie Mita is a Podiatry in Vallejo, California. Graduated from California School of Podiatric Medicine in 2016, 10 years ago. Practices with County of Santa Clara, a 993-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2016
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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

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5567 (CA)

Record details

NPI number1669836763
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESJuly 22, 2019
Mailing address975 Sereno Dr, Vallejo, CA 94589-2441

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice County Of Santa Clara — 993 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vallejo