Provider Demographics
NPI:1649031550
Name:DIMOSKI, ALEXANDRA MEGHAN
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MEGHAN
Last Name:DIMOSKI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-5100
Mailing Address - Country:US
Mailing Address - Phone:831-772-7070
Mailing Address - Fax:
Practice Address - Street 1:9781 BLUE LARKSPUR LN
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6509
Practice Address - Country:US
Practice Address - Phone:831-333-9008
Practice Address - Fax:831-333-9010
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64766363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant