Jesus L. Licuanan, M.D. Inc
NPI 1497913057ActiveOrganization· Specialist· Buena Park, CA
Specialist in Buena Park, California, registered in NPPES in May 2008. The authorized official on file is Jesus L. Licuanan, M.D., President/Owner.
Overview
| NPI | 1497913057 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2008 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | A42300 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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