1. Home
  2. Directory
  3. California
  4. Anaheim
  5. General Practice
  6. NPI Profile

PAUL J. LICATA MD INC.
NPI 1407096720
General Practice in Anaheim, CA

Active since February 26, 2009
3356 W BALL RD, SUITE 206, ANAHEIM, CA 92804(714) 827-8890(714) 827-8905 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul J. Licata Md Inc. NPPES

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

PAUL J. LICATA MD INC. (NPI 1407096720) is a healthcare organization registered as a general practice in Anaheim, California and active in the NPI registry since February 2009. The organization lists Paul James Licata, Owner, as its authorized official.

NPPES Registry Identity

NPI1407096720
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePAUL J. LICATA MD INC.
Location Address3356 W BALL RD, SUITE 206Anaheim, CA 92804-3702
Mailing Address3356 W Ball Rd Ste 206Anaheim, CA 92804-3728 · (714) 827-8890 · Fax (714) 827-8905
Phone(714) 827-8890
Fax(714) 827-8905
Organization SubpartNo
Authorized OfficialPaul James LicataOwner · (714) 827-8890
Enumeration DateFebruary 26, 2009
Last NPPES UpdateApril 15, 2011
✔ NPI 1407096720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A25662
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License A25662 (CA)
3356 W BALL RD, Anaheim, CA 92804
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINA24524CA
Medicare PINA25662CA
Medicaid00A25662CA
OtherBS00A256626Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

BAKTHAN SAVARIRAYAN M.D
Surgery
3356 W BALL RD, SUITE 205
ANAHEIM, CA 92804
Orange County (714) 761-0332
FLORA Y CHEN DDS, INC
Dentist (Orthodontics and Dentofacial Orthopedics)
3356 W BALL RD, SUITE 118
ANAHEIM, CA 92804
Orange County (714) 220-5888
BYUNG WHA CHUN MD
Obstetrics & Gynecology (Gynecology)
3356 W BALL RD, SUITE: 115
ANAHEIM, CA 92804
Orange County (714) 826-1274
PRESTIGE HOSPICE CARE, INC.
Hospice Care, Community Based
3356 W BALL RD, SUITE 216
ANAHEIM, CA 92804
Orange County (714) 229-9003
DAVID S KRAMER MD A PROFESSIONAL CORPORATION
Internal Medicine (Cardiovascular Disease)
3356 W BALL RD, SUITE 206
ANAHEIM, CA 92804
Orange County (714) 827-8890
SHELDON FAYNER M D INC
Family Medicine
3356 W BALL RD, STE 206
ANAHEIM, CA 92804
Orange County (714) 827-8890
DAVID S KRAMER MD A PROFESSIONAL CORPORATION
Internal Medicine (Cardiovascular Disease)
3356 W BALL RD, 206
ANAHEIM, CA 92804
Orange County (714) 827-8890
OMAR O. FADEEL, MD
Non-Pharmacy Dispensing Site
3356 W BALL RD, 100
ANAHEIM, CA 92804
Orange County (714) 827-6625

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 Paul J. Licata MD Inc.'s NPI number?

The NPI number for Paul J. Licata MD Inc. is 1407096720. It was assigned to this organization in the NPPES registry on February 26, 2009.

Where is Paul J. Licata MD Inc. located?

Paul J. Licata MD Inc. is located at 3356 W Ball Rd Suite 206, Anaheim, CA 92804. The listed phone number is (714) 827-8890.

What is Paul J. Licata MD Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Paul J. Licata MD Inc. was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.