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Export Provider Record NPI 1083148969
Carlos G MoscosoM.D., PH.D.
Active
NPI Number1083148969
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine, Gastroenterology
Provider Details
NPI1083148969
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2017-04-17
Last Updated2026-04-28
Mailing Address7600 Evergreen Way
Everett, WA 98203-6421
United States
Phone: (206) 860-5414
📍 View Map
Primary Practice Address3927 Rucker Ave
Everett, WA 98201-4833
United States
Phone: (425) 339-5421 | Fax: (425) 257-1408
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RG0100X – Internal Medicine, GastroenterologyWAMD61079382
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About NPI 1083148969

Carlos G Moscoso M.D., PH.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083148969. The primary specialty listed is Internal Medicine, Gastroenterology. The provider is located in Everett, WA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-04-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083148969?

NPI 1083148969 belongs to Carlos G Moscoso M.D., PH.D., a Internal Medicine, Gastroenterology in Everett, WA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083148969 active?

The current status of NPI 1083148969 in the NPPES registry is Active. The record was last updated on 2026-04-28.

What specialty is NPI 1083148969?

NPI 1083148969 is classified under the taxonomy Internal Medicine, Gastroenterology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083148969?

You can verify NPI 1083148969 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083148969?

The primary practice address on file for NPI 1083148969 is 3927 Rucker Ave, Everett, WA 98201-4833. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083148969 issued?

NPI 1083148969 was first issued (enumerated) on 2017-04-17. The NPPES record was last updated on 2026-04-28.

Practice Location Map

Carlos G Moscoso is located at 3927 Rucker Ave, Everett, WA. Use the map below to find directions or verify the practice location.

📍 3927 Rucker Ave, Everett, WA 98201-4833  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Carlos G Moscoso. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083148969. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, GastroenterologyMD61079382WA
Data Verified from CMS NPPES Last synced: 2026-06-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162