ALICIA ANNE GILL PA-C
NPI 1114690781
Physician Assistant - Medical in San Diego, CA

Active since July 29, 2021PECOS Enrolled
16647 CRESCENT CREEK DR, SAN DIEGO, CA 92127(858) 722-0213 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2022, Jul 29, 2021 (2 updates tracked since 2021).

About Alicia Anne Gill Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA ANNE GILL PA-C (NPI 1114690781) is an individual medical provider in San Diego, California, licensed in California (65607) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1114690781
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALICIA ANNE GILLCredential: PA-C
Location Address16647 CRESCENT CREEK DRSan Diego, CA 92127-7059
Mailing Address16647 Crescent Creek DrSan Diego, CA 92127-7059 · (858) 722-0213
Sole ProprietorYes
Enumeration DateJuly 29, 2021
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
NPI 1114690781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CA · 65607 Licensed in IL · 085008768
16647 CRESCENT CREEK DR, San Diego, CA 92127

Secondary Practice Location 1

Location 14725 Market StSan Diego, CA 92102-4715 · Phone (619) 515-2560

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alicia Anne Gill Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Gill's NPI number?

The NPI number for Alicia Gill is 1114690781. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Alicia Gill located?

Alicia Gill practices at 16647 Crescent Creek Dr, San Diego, CA 92127. The listed phone number is (858) 722-0213.

What is Alicia Gill's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alicia Gill enrolled in Medicare?

Yes. Alicia Gill is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Gill was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.