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

Individual provider Physician Assistant · NPI 1699972158

Amoret E. Nicklisch, PA-C is a Physician Assistant in Davis, California. Qualified in 2006, 20 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
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

2020 Sutter Pl Ste 101
Davis, CA 95616
Phone: (530) 750-5900
Fax: (530) 750-5891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12395 El Camino Real, San Diego, CA 92130-3082 — (858) 793-2727

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA19105 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 19105 (CA)

Record details

NPI number1699972158
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESFebruary 27, 2019
Mailing address10470 Old Placerville Rd Ste 100, Sacramento, CA 95827-2539

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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