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

Alessandro Iliceto, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1831685577

Alessandro Iliceto, MD is a Neurology in San Diego, California. Qualified in 2017, 9 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence A175049 (CA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence A175049 (CA)

Record details

NPI number1831685577
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2018
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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