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

Mrs. Tina Marie Moussally, MSPA-C

Individual provider Physician Assistant · NPI 1245310044

Mrs. Tina Marie Moussally, MSPA-C is a Physician Assistant in Bakersfield, California. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

6501 Truxtun Ave
Bakersfield, CA 93309-0633
Phone: (661) 322-2206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17710 (CA)

Record details

NPI number1245310044
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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