Healthcare Provider Details

I. General information

NPI: 1558288241
Provider Name (Legal Business Name): IT MUST BE KISMET MEDICAL AND AESTHETICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3877 SHAWN WAY STE 168
LOOMIS CA
95650-9287
US

IV. Provider business mailing address

3877 SHAWN WAY STE 168
LOOMIS CA
95650-9287
US

V. Phone/Fax

Practice location:
  • Phone: 916-250-1010
  • Fax: 800-905-5787
Mailing address:
  • Phone: 916-250-1010
  • Fax: 800-905-5787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KISMET THOMPSON ROBERTS
Title or Position: CEO
Credential: MD
Phone: 916-250-1010