Provider Demographics
NPI:1144883240
Name:MOSCATI, CHRISTINE HARPER (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:HARPER
Last Name:MOSCATI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 ENCINAL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-5670
Mailing Address - Country:US
Mailing Address - Phone:510-995-8200
Mailing Address - Fax:
Practice Address - Street 1:2421 ENCINAL AVE STE A
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5670
Practice Address - Country:US
Practice Address - Phone:510-995-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56516363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant