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EZRA QUINN LICCIARDI PARAMEDIC
NPI 1053240986
Emergency Medical Technician, Paramedic in Bishop, CA

Active since May 16, 2026
703 AIRPORT RD, BISHOP, CA 93514(760) 872-2201 Get Directions Write a Review

NPPES record last updated: May 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ezra Quinn Licciardi Paramedic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZRA QUINN LICCIARDI PARAMEDIC (NPI 1053240986) is an individual emergency medical technician, paramedic in Bishop, California, licensed in California (P12703) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1053240986
Entity TypeIndividualMale
Primary Taxonomy146L00000X
Provider Legal NameEZRA QUINN LICCIARDICredential: PARAMEDIC
Location Address703 AIRPORT RDBishop, CA 93514-3603
Mailing Address42453 28th St WLancaster, CA 93536-4023 · (661) 609-5493
Phone(760) 872-2201
Sole ProprietorNo
Enumeration DateMay 16, 2026
NPPES CertifiedMay 16, 2026
✔ NPI 1053240986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers
Taxonomy Code146L00000X
License✔ Licensed in CA · P12703
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
703 AIRPORT RD, Bishop, CA 93514
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ezra Licciardi's NPI number?

The NPI number for Ezra Licciardi is 1053240986. It was assigned to this individual provider in the NPPES registry on May 16, 2026.

Where is Ezra Licciardi located?

Ezra Licciardi practices at 703 Airport Rd, Bishop, CA 93514. The listed phone number is (760) 872-2201.

What is Ezra Licciardi's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

When was this NPI record last updated?

The NPPES record for Ezra Licciardi was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.