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

Stephen Licata, MD

Individual provider Anesthesiology Physician · NPI 1720190580

Stephen Licata, MD is an Anesthesiology in Greenbrae, California. Graduated from New York Medical College in 1993, 33 years ago. Practices with Anesthesiology Consultants of Marin, a 32-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
New York Medical College
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone: (415) 925-7000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence G80519 (CA)

Record details

NPI number1720190580
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 26, 2019
Mailing addressPo Box 527, Larkspur, CA 94977-0527

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1993 (33 years in practice)
Group practice Anesthesiology Consultants Of Marin — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greenbrae