DR. VINCENT D LICATA M.D.
NPI 1801946249
Family Medicine in Auburn, CA

Active since January 10, 2007
3133 PROFESSIONAL DR, #20, AUBURN, CA 95603(530) 885-8821(530) 885-6554 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vincent D Licata M.d. NPPES

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

DR. VINCENT D LICATA M.D. (NPI 1801946249) is an individual family medicine provider in Auburn, California, licensed in California (G49090) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1801946249
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VINCENT D LICATACredential: M.D.
Location Address3133 PROFESSIONAL DR, #20Auburn, CA 95603-2463
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Fax(530) 885-6554
Sole ProprietorNo
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 27, 2015
NPI 1801946249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G49090
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3133 PROFESSIONAL DR, Auburn, CA 95603

Other Identifiers 4

Medicare PIN00G490903CA
Medicaid00G490900CA
Medicare UPINA37808
Medicare ID-Type Unspecified00G490900

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3133 PROFESSIONAL DR, SUITE 20
AUBURN, CA 95603
Physician Assistant (Medical)
3133 PROFESSIONAL DR, SUITE 20
AUBURN, CA 95603
Clinic/Center (Federally Qualified Health Center (FQHC))
3133 PROFESSIONAL DR
AUBURN, CA 95603
Family Medicine
3133 PROFESSIONAL DR, SUITE 20
AUBURN, CA 95603
Optometrist
3133 PROFESSIONAL DR, SUITE 14
AUBURN, CA 95603
Physician Assistant
3133 PROFESSIONAL DR, SUITE 20
AUBURN, CA 95603
Family Medicine
3133 PROFESSIONAL DR, SUITE 20
AUBURN, CA 95603
Optometrist
3133 PROFESSIONAL DR, SUITE 14
AUBURN, CA 95603

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 Vincent Licata's NPI number?

The NPI number for Vincent Licata is 1801946249. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Vincent Licata located?

Vincent Licata practices at 3133 Professional Dr #20, Auburn, CA 95603. The listed phone number is (530) 885-8821.

What is Vincent Licata's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Vincent Licata was last updated on July 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.