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GRACE MAZZAGATTE PA-S
NPI 1457243040
Physician Assistant in San Diego, CA

Active since July 17, 2025
9055 BALBOA AVE, SAN DIEGO, CA 92123(619) 849-3331 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grace Mazzagatte Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE MAZZAGATTE PA-S (NPI 1457243040) is an individual physician assistant in San Diego, California and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1457243040
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRACE MAZZAGATTECredential: PA-S
Location Address9055 BALBOA AVESan Diego, CA 92123-1509
Mailing Address3770 Boyd Ave Apt 163San Diego, CA 92111-4169 · (858) 248-3401
Phone(619) 849-3331
Sole ProprietorNo
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1457243040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9055 BALBOA AVE, San Diego, CA 92123
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN ANN CHAMBERS
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
RYLEE HANNAH NELSEN I
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
ALICIA JOANNE HENSON PA
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 329-6799
NIDA EJAZ
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
ANGELINA JILIS HARGROVE
Specialist/Technologist (Athletic Trainer)
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 329-6799
MICHAEL F STATZULA
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (505) 980-0259
ANNE VANDERWEIDE
Specialist/Technologist (Athletic Trainer)
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (907) 632-1748
DYLAN SIMMONS
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Mazzagatte's NPI number?

The NPI number for Grace Mazzagatte is 1457243040. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Grace Mazzagatte located?

Grace Mazzagatte practices at 9055 Balboa Ave, San Diego, CA 92123. The listed phone number is (619) 849-3331.

What is Grace Mazzagatte's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Grace Mazzagatte was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.