Healthcare Provider Details

I. General information

NPI: 1902138399
Provider Name (Legal Business Name): ALEXANDRA EMILY MOSS RN, APRN, NP, B.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SACHA EMILY MOSS RN, APRN, NP, B.C.

II. Dates (important events)

Enumeration Date: 02/10/2010
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19531 MCLANE STREET SUITE A
PALM SPRINGS CA
92258
US

IV. Provider business mailing address

5870 ARLINGTON AVE
RIVERSIDE CA
92504-2037
US

V. Phone/Fax

Practice location:
  • Phone: 760-251-2346
  • Fax:
Mailing address:
  • Phone: 951-683-6596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95146536
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95014615
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: