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

Alexander Mark Agelidis

Individual provider Medical Oncology Physician · NPI 1013595743

Alexander Mark Agelidis is an Internal Medicine in San Diego, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2021, 5 years ago. Works from 4 locations. Licensed in California.

Years since qualifying
5
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA
In the registry since
2021
Specialties on file
3
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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 (3)

  • 1200 Garden View Rd, Encinitas, CA 92024-2477 — (800) 926-8273
  • 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 — (858) 554-3200
  • 910 Sycamore Ave Ste 102, Vista, CA 92081-7833 — (800) 926-8273

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 191561 (CA)
Medical Oncology Physician Taxonomy 207RX0202X · Licence 191561 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013595743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesMEDICAL ONCOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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