Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alicia Marie Muccigrosso, PA-C

Individual provider Physician Assistant · NPI 1538472162

Alicia Marie Muccigrosso, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2010, 16 years ago. Practices with M Ganjianpour, MD a Professional Corporation, a 3-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
16
Licensed in
CA, NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6330 San Vicente Blvd Ste 310
Los Angeles, CA 90048-5425
Phone: (310) 855-0751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 21789 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 014104-1 (NY)

Record details

NPI number1538472162
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2010
Last updated in NPPESNovember 20, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice M Ganjianpour, M.D. A Professional Corporation — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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