Damon Licari, PA
NPI 1962495069 · Physician Assistant · Fairfax, VA
Damon Licari, PA is a Physician Assistant provider in Fairfax, VA (NPI 1962495069).
Provider details
- NPI number
- 1962495069
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 0110001250 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 3020 Hamaker Ct Ste 101Fairfax, VA 22031-2233Phone: (703) 289-9400Fax: (703) 289-9404
- 3300 Gallows RdFalls Church, VA 22042-3307Phone: (703) 776-4001Fax: (703) 776-7113
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2022-03-15
- Certified
- 2022-03-15
Frequently asked questions
- What is Damon Licari's NPI number?
- Damon Licari's National Provider Identifier (NPI) is 1962495069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Damon Licari's specialty?
- Damon Licari is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Damon Licari located?
- Damon Licari's practice location on file with NPPES is 8081 Innovation Park Dr Ste 602, Fairfax, VA 22031-4867.
- What is Damon Licari's phone number?
- The practice phone number listed in the NPPES registry for Damon Licari is (571) 472-3270.
- Is Damon Licari's NPI active?
- Yes — Damon Licari's NPI (1962495069) is active in the NPPES registry as of the last update on 2022-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.