PAUL J. LICATA MD INC. – NPI #1407096720
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PAUL J. LICATA MD INC. is a provider located in ANAHEIM, CA. NPPES has assigned the NPI number 1407096720 to PAUL J. LICATA MD INC. on February 26, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on Apr 15, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAUL J. LICATA MD INC. below.

NPI Profile for
PAUL J. LICATA MD INC.

NPI Number
1407096720
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAUL J. LICATA MD INC.
Primary location
3356 W BALL RD
SUITE 206
ANAHEIM, CA 92804-3702
Phone: (714) 827-8890 Fax: (714) 827-8905
Mailing address
3356 W BALL RD STE 206
ANAHEIM, CA 92804-3728
Phone: (714) 827-8890 Fax: (714) 827-8905
Organization Subpart
No
Authorized Official
PAUL LICATA
OWNER
Phone: (714) 827-8890
Updated
Identifiers

Identifiers for PAUL J. LICATA MD INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDBS00A256626
MEDICAIDCA00A25662
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
CA A25662
163WG0000X
- Registered Nurse / General Practice
CA A25662

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.