Individual provider Active NPI

Mia Elizabeth Carson, MD

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1215055629
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C168608 Issued in CA
Practice address
949 Calhoun PL Ste G
Hemet, CA 92543-4403
Phone
(951) 765-5594
Fax
(888) 662-4491
NPI assigned
Mar 26, 2007
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C168608 CA Primary

Addresses

Primary practice location

949 Calhoun PL Ste G
Hemet, CA 92543-4403

Mailing address

1545 W Florida Ave
Hemet, CA 92543-3814
Phone (951) 791-1111

Other names 1

  • Dr. Mia Elizabeth Martin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171106002384 TX Practitioner - Family Practice 6608780416 Reassigns benefits to 1 organization
I20220201002053 CA Practitioner - Family Practice 6608780416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Round Valley Indian Health Center, Inc.Group PAC ID 9234128927, 17 clinicians

Practice addresses (Care Compare)

24065 Biggar LN
Covelo, CA 95428-9669
Phone (707) 983-6404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C168608CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Oct 2, 2017 Accepting new patients
Round Valley Indian Health Center, Inc. Family Medicine CurrentSince Dec 8, 2025 Accepting new patients
Thoreau Clinic CurrentSince Oct 2, 2017 Accepting new patients
Menifee Global Multi-Specialty Group Inc Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Round Valley Indian Health Center Past Accepting new patients
Bridge Medicine LLC Family Medicine PastSince May 29, 2011 Accepting new patients

Locations

1545 W Florida Ave
Hemet, CA 92543
Phone (951) 791-1111

2390 E Florida Ave
Ste 101
Hemet, CA 92544
Phone (909) 698-0440

949 Calhoun Pl
Ste G
Hemet, CA 92543
Phone (951) 765-5594

25109 Jefferson Ave
Ste 100
Murrieta, CA 92562
Phone (951) 698-0440

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1215055629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "888-856-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 CALHOUN PL STE G",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434403",
            "telephone_number": "951-765-5594",
            "fax_number": "888-662-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "MIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C168608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "MARTIN",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.