Active NPI
Dara Aicklen Desoto, CPM, LM
- Midwife
- Oceanside, CA
National Provider Identifier
1194681791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 772
- Practice address
- 4009 Mira Costa St
Oceanside, CA 92056-4611 - Phone
- (858) 699-2710
- NPI assigned
- Dec 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 772 | CA | Primary |
Addresses
Primary practice location
4009 Mira Costa St
Oceanside, CA 92056-4611
Mailing address
4009 Mira Costa St
Oceanside, CA 92056-4611
Phone (858) 699-2710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 772 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1194681791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 MIRA COSTA ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564611",
"telephone_number": "858-699-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 MIRA COSTA ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564611",
"telephone_number": "858-699-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESOTO",
"first_name": "DARA",
"middle_name": "AICKLEN",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "CA",
"license": "772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
- Rosalba Hernandez Derobbio, MS
- Martha Alicia Derobles
- Daniel Joseph Desantis, MD
- Kristin Marie Osterman Desantis, M.D.
- Lizette Salazar Deshane, DACM
- Christopher Emile Devereaux, M.D.
- Randi J. Devine, MFT
- Antoinette Marie Devita
- Dewain Nicholas Springer (North County Podiatry Clinics)
- Meghan Marie Dewees-Kern
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.