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Paul J. Licata MD Inc.

General Practice Physician in Anaheim, CA · enumerated 2009 · authorized official Paul Licata, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407096720

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Registry record

Entity type Organization (Type 2)
Legal business name Paul J. Licata MD Inc.
Practice address 3356 W Ball Rd, Suite 206, Anaheim, CA, 92804
Phone (714) 827-8890
Fax (714) 827-8905
Enumeration date Feb 26, 2009
Last updated in NPPES Apr 15, 2011

Taxonomy & classification

163WG0000X General Practice Registered Nurse Nursing Service Providers · License A25662 (CA) Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License A25662 (CA) Primary

Authorized official

Name Paul Licata
Title Owner
Phone (714) 827-8890

Other identifiers

Identifier Type State Issuer
BS00A256626 Other - BLUE SHIELD
00A25662 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Paul J. Licata MD Inc.?
The NPI for Paul J. Licata MD Inc. is 1407096720, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Paul J. Licata MD Inc.?
NPPES lists Paul Licata (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-15.