LARRY CHARLES HICKS PA
NPI 1568453801
Physician Assistant - Surgical in Modesto, CA

Q: What is Larry Hicks's NPI number?

The NPI number for Larry Hicks is 1568453801. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Q: What is Larry Hicks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Larry Hicks was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.

Active since November 04, 2005

1441 FLORIDA, MODESTO, CA 95352(209) 576-3999 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Larry Charles Hicks Pa NPPES

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

LARRY CHARLES HICKS PA (NPI 1568453801) is an individual surgical provider in Modesto, California and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1568453801

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameLARRY CHARLES HICKSCredential: PA

Location Address1441 FLORIDAModesto, CA 95352

Mailing Address4301 Northstar WayModesto, CA 95356-9262 · (209) 342-2300 · Fax (209) 524-4240

Phone(209) 576-3999

Sole ProprietorNo

Enumeration DateNovember 4, 2005

Last NPPES UpdateJanuary 11, 2013

✔ NPI 1568453801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

1441 FLORIDA, Modesto, CA 95352

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Other Identifiers 6

Medicare PIN0PA108441CA

OtherOPA108440CA · Blue Shield

Medicare UPINP27573

OtherCD069ACA · Group Ptan

Medicare PIN0PA108440CA

MedicaidOPA108440CA

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 Larry Hicks's NPI number?

The NPI number for Larry Hicks is 1568453801. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Larry Hicks located?

Larry Hicks practices at 1441 Florida, Modesto, CA 95352. The listed phone number is (209) 576-3999.

What is Larry Hicks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Larry Hicks was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.