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

Dr. Edwin Alphonse Lichwa II, DO

Individual provider Family Medicine Physician · NPI 1104856012

Dr. Edwin Alphonse Lichwa II, DO is a General Practice in West Sacramento, California. Graduated from University of North Texas Hsc, College of Osteopathic Med in 1992, 34 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
34
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
CA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

500 Jefferson Blvd Ste B180
West Sacramento, CA 95605-2394
Phone: (916) 375-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A6985 (CA)

Record details

NPI number1104856012
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESDecember 16, 2021
Mailing address612 Snapdragon St, Winters, CA 95694-1680

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 1992 (34 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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