DR. ERNESTO LICON MD
NPI 1194254896
Obstetrics & Gynecology in Orange, CA
About Dr. Ernesto Licon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ERNESTO LICON MD (NPI 1194254896) is an individual obstetrics & gynecology provider in Orange, California, licensed in California (A160205) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ernesto Licon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Ernesto Licon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 149 clinicians in this Medicare group
Santa Ana, CA 92701
- Reassigned Medicare billing, California enrollment
- 255 clinicians in this Medicare group
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORANGE, CA 92868
ORANGE, CA 92868
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ernesto Licon's NPI number?
The NPI number for Ernesto Licon is 1194254896. It was assigned to this individual provider in the NPPES registry on June 6, 2017.
Where is Ernesto Licon located?
Ernesto Licon practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 880-2911.
What is Ernesto Licon's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Ernesto Licon enrolled in Medicare?
Yes. Ernesto Licon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ernesto Licon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ernesto Licon reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (Orange, CA), University Of California Irvine (Santa Ana, CA) and Valley Obstetrics & Gynecology Medical Group, Inc. (Colton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ernesto Licon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ernesto Licon was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Ernesto Licon, MD · NPI 1194254896
Obstetrics & Gynecology physician in Orange, California. Individual provider, active in the CMS NPPES registry since June 6, 2017.
## Identity
- **NPI:** 1194254896 (Entity type: Individual)
- **Enumerated:** June 6, 2017
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A160205 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 THE CITY DR S, Orange, CA 92868-3201
- **Phone:** (714) 880-2911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1356304034, Orange, CA); University Of California Irvine (NPI 1851325906, Santa Ana, CA); Valley Obstetrics & Gynecology Medical Group, Inc. (NPI 1144304817, Colton, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194254896) · Data from the CMS NPPES public registry.