Active NPIIndividual provider

Alexander M Agelidis

Internal Medicine in San Diego, California

NPI Number1013595743
Practice location
200 W Arbor Dr, San Diego, CA 92103-9000
Fax
888-539-8781
Last updated
June 1, 2026

Alexander M Agelidis is a Internal Medicine based in San Diego, CA. The NPI number for Alexander M Agelidis is 1013595743 and holds license No. 191561 (CA). The current practice location address is 200 W Arbor Dr, San Diego, CA 92103-9000 and the office can be reached by phone at 800-926-8273 and by fax at 888-539-8781. The NPI was assigned on April 1, 2021 and the record was last updated in NPPES on June 1, 2026.

●Provider Profile Details

NPI Number
1013595743
Provider Name
Alexander Mark Agelidis
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Enumeration Date
April 1, 2021
Last Update Date
June 1, 2026
Certification Date
June 1, 2026
NPI Status
Active

◉Business Practice Location Address

Address
200 W Arbor Dr
San Diego, CA 92103-9000
ZIP
92103-9000
Country
US
Phone Number
800-926-8273
Fax Number
888-539-8781

Get directions →

✉Business Mailing Address

Address
File 57326
Los Angeles, CA 90074-7326
City
Los Angeles
State
CA
ZIP
90074-7326
Phone Number
800-926-8273

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Internal Medicine, Medical Oncology207RX0202XNo191561CA
Student in an Organized Health Care Education/Training Program390200000XNo——
Internal Medicine207R00000XYes191561CA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Alexander M Agelidis?

The NPI number of Alexander M Agelidis is 1013595743. It was assigned on April 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Alexander M Agelidis?

Alexander M Agelidis is registered under the primary taxonomy Internal Medicine (code 207R00000X) and holds license No. 191561 (CA).

Where does Alexander M Agelidis practice?

The practice location is 200 W Arbor Dr, San Diego, CA 92103-9000. The office can be reached at 800-926-8273 (phone) or 888-539-8781 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013595743 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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