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MR. MICHAEL VINCENT LIBERATO PA-C
NPI 1962674465
Physician Assistant in Sacramento, CA

Active since March 25, 2008PECOS EnrolledAccepts Medicare Assignment
201 29TH ST, SUITE B, SACRAMENTO, CA 95816(916) 446-6921(916) 446-0640 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Vincent Liberato Pa-c NPPES

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

MR. MICHAEL VINCENT LIBERATO PA-C (NPI 1962674465) is an individual physician assistant in Sacramento, California, licensed in California (PA19657) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962674465
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL VINCENT LIBERATOCredential: PA-C
Location Address201 29TH ST, SUITE BSacramento, CA 95816-3271
Mailing Address1691 The AlamedaSan Jose, CA 95126-2203 · (408) 287-7532 · Fax (408) 287-0405
Phone(916) 446-6921
Fax(916) 446-0640
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 25, 2008
Last NPPES UpdateMay 18, 2012
✔ NPI 1962674465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA19657
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
201 29TH ST, Sacramento, CA 95816
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Other Identifiers 1

OtherGA202ZMedicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Vincent Liberato Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577725522
PECOS Enrollment IDI20260220003154
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LISA LYN BAYANI FNP
Nurse Practitioner (Family)
201 29TH ST, STE B
SACRAMENTO, CA 95816
Sacramento County (916) 446-6921
MS. MARY D KERTES CNM
Advanced Practice Midwife
201 29TH ST, SUITE B
SACRAMENTO, CA 95816
Sacramento County (916) 446-6921
RACHEL SCHACHERE MCMICHAEL FNP
Nurse Practitioner (Family)
201 29TH ST, STE B
SACRAMENTO, CA 95816
Sacramento County (916) 446-6921
MARY ANN GHOLSON PA
Physician Assistant
201 29TH ST, SUITE B
SACRAMENTO, CA 95816
Sacramento County (916) 446-6921
LETITIA DIANNE ESTES RN
Registered Nurse
201 29TH ST, SUITE B
SACRAMENTO, CA 95816
Sacramento County (916) 446-6921
MS. JANET SUSAN POARCH-NUGENT RN
Registered Nurse
201 29TH ST, SUITE A
SACRAMENTO, CA 95816
Sacramento County (916) 446-6921
DR. KAREN M. WEBSTER M.D.
Family Medicine
201 29TH ST, SUITE B
SACRAMENTO, CA 95816
Sacramento County (916) 446-6921
PLANNED PARENTHOOD MAR MONTE, INC
Clinic/Center (Community Health)
201 29TH ST, SUITE B
SACRAMENTO, CA 95816
Sacramento County (916) 446-6921

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 Michael Liberato's NPI number?

The NPI number for Michael Liberato is 1962674465. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Michael Liberato located?

Michael Liberato practices at 201 29th St Suite B, Sacramento, CA 95816. The listed phone number is (916) 446-6921.

What is Michael Liberato's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Liberato enrolled in Medicare?

Yes. Michael Liberato is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Liberato was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.