MR. JONATHAN M LICHT MD
NPI 1356321988
Psychiatry & Neurology - Neurology in San Diego, CA
About Mr. Jonathan M Licht Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JONATHAN M LICHT MD (NPI 1356321988) is an individual neurology provider in San Diego, California, licensed in California (G43892) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jonathan M Licht Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 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.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Jonathan Licht's NPI number?
The NPI number for Jonathan Licht is 1356321988. It was assigned to this individual provider in the NPPES registry on January 19, 2006.
Where is Jonathan Licht located?
Jonathan Licht practices at 4033 3rd Ave Suite 206, San Diego, CA 92103. The listed phone number is (619) 294-9292.
What is Jonathan Licht's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Jonathan Licht enrolled in Medicare?
Yes. Jonathan Licht is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jonathan Licht was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mr. Jonathan M Licht, MD · NPI 1356321988
Neurology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since January 19, 2006.
## Identity
- **NPI:** 1356321988 (Entity type: Individual)
- **Enumerated:** January 19, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** G43892 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4033 3RD AVE, SUITE 206, San Diego, CA 92103-2117
- **Phone:** (619) 294-9292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 11, 2010
- **Other identifiers:** Medicare UPIN B46476 (CA); Medicaid 00G438921 (CA); Medicare ID-Type Unspecified G43892 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1356321988) · Data from the CMS NPPES public registry.