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

Marcus Lee David Sickelton, PA

Individual provider Physician Assistant · NPI 1245843143

Marcus Lee David Sickelton, PA is a Physician Assistant in Santa Barbara, California. Qualified in 2020, 6 years ago. Practices with Cottage Clinical Network LLC, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
6
Licensed in
CA, OR
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone: (805) 682-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 — (541) 673-0611

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1028 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA201952 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OR)

Record details

NPI number1245843143
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cottage Clinical Network Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Santa Barbara