Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Mazzagatte, PA-S

Individual provider Physician Assistant · NPI 1457243040

Grace Mazzagatte, PA-S is a Physician Assistant in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

9055 Balboa Ave
San Diego, CA 92123-1509
Phone: (619) 849-3331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1457243040
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJuly 17, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

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