Paul J. Licata MD Inc.
NPI 1407096720ActiveOrganization· General Practice· Anaheim, CA
General Practice in Anaheim, California, registered in NPPES in February 2009. The authorized official on file is Paul James Licata, M.D., Owner.
Overview
| NPI | 1407096720 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2009 |
| Last updated in NPPES | Apr 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | A25662 | CA |
| Registered Nurse, General Practice | 163WG0000X | A25662 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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