Physician Assistant, Surgical
LIESEL ALLISON BACANI
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1205636883 · enumerated 2025-03-14 · record updated 2026-01-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2625 E DIVISADERO ST, FRESNO, CA, 93721-1431 (559) 453-5200 Fax (559) 453-5233 Google Maps Apple Maps OpenStreetMap
- Practice location 4301 X ST, SACRAMENTO, CA, 95817-2214 (916) 731-2011 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 67198 CA
- Physician Assistant, Surgical 363AS0400X · Primary · License 67198 CA
In this directory
CA Sacramento County Sacramento Physician Assistant, Surgical
Locations and evidence
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Practice location
SACRAMENTO, CA, 958172214
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.