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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JESUS LOMIBAO LICUANAN M.D.
NPI 1306897780
Specialist in Buena Park, CA

Active since May 12, 2006
6131 ORANGETHORPE AVE, SUITE 215, BUENA PARK, CA 90620(714) 521-1700(714) 521-1003 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jesus Lomibao Licuanan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESUS LOMIBAO LICUANAN M.D. (NPI 1306897780) is an individual specialist in Buena Park, California and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1306897780
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJESUS LOMIBAO LICUANANCredential: M.D.
Location Address6131 ORANGETHORPE AVE, SUITE 215Buena Park, CA 90620-1315
Mailing Address6131 Orangethorpe Ave, Suite 215Buena Park, CA 90620-1315 · (714) 521-1700 · Fax (714) 521-1003
Phone(714) 521-1700
Fax(714) 521-1003
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1306897780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6131 ORANGETHORPE AVE, Buena Park, CA 90620
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A423000CA

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEQUOIA PHYSICAL THERAPY, INC
Clinic/Center (Physical Therapy)
6131 ORANGETHORPE AVE, SUITE 135
BUENA PARK, CA 90620
Orange County (714) 523-3822
DIVINE HOSPICE CARE, INC.
Hospice Care, Community Based
6131 ORANGETHORPE AVE, SUITE 180
BUENA PARK, CA 90620
Orange County (714) 523-5030
APPLECARE MEDICAL GROUP
Internal Medicine
6131 ORANGETHORPE AVE, SUITE 280
BUENA PARK, CA 90620
Orange County (714) 443-4512
MINH H. PHAM D.P.T.
Physical Therapist
6131 ORANGETHORPE AVE
BUENA PARK, CA 90620
Orange County (714) 523-3822
RABIZADEH DDS APDC
Dentist
6131 ORANGETHORPE AVE, SUITE #405
BUENA PARK, CA 90620
Orange County (714) 670-7134
BINH T. BUI, DDS, INC.
Dentist
6131 ORANGETHORPE AVE, SUITE 405
BUENA PARK, CA 90620
Orange County (714) 670-7134
APPLECARE MEDICAL GROUP ST. FRANCIS,INC.
Health Maintenance Organization
6131 ORANGETHORPE AVE, #280
BUENA PARK, CA 90620
Orange County (714) 443-4506
APPLECARE MEDICAL GROUP,INC
Health Maintenance Organization
6131 ORANGETHORPE AVE, #280
BUENA PARK, CA 90620
Orange County (714) 443-4506

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 Jesus Licuanan's NPI number?

The NPI number for Jesus Licuanan is 1306897780. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Jesus Licuanan located?

Jesus Licuanan practices at 6131 Orangethorpe Ave Suite 215, Buena Park, CA 90620. The listed phone number is (714) 521-1700.

What is Jesus Licuanan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jesus Licuanan was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.