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

Individual provider Physician Assistant · NPI 1689212482

Meghan Licciardello, PA is a Physician Assistant in Sacramento, California. Works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019
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

1451 River Park Dr Ste 260
Sacramento, CA 95815-4504
Phone: (650) 826-2945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 300 Harding Blvd Ste 213, Roseville, CA 95678-2474 — (916) 390-1347
  • 427 Grove St, Roseville, CA 95678-1508 — (916) 390-1347

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1689212482
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 12, 2019
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021

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