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

Liesel Allison Lucas Bacani

Individual provider Physician Assistant · NPI 1205636883

Liesel Allison Lucas Bacani is a Physician Assistant in Sacramento, California. Qualified in 2025, 1 year ago. Practices with Central California Faculty Medical Group Inc, a 254-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

4301 X St
Sacramento, CA 95817-2214
Phone: (916) 731-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 67198 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 67198 (CA)

Record details

NPI number1205636883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2025
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Central California Faculty Medical Group Inc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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