DR. PAUL JOHN LICATA M.D.
NPI 1740361518
Family Medicine in Anaheim, CA

Active since October 18, 2006
1717 E LINCOLN AVE, ANAHEIM, CA 92805(714) 635-2642(714) 635-8547 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 3, 2017, Jun 30, 2017 (3 updates tracked since 2017).

About Dr. Paul John Licata M.d. NPPES

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

DR. PAUL JOHN LICATA M.D. (NPI 1740361518) is an individual family medicine provider in Anaheim, California, licensed in California (A25662) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1740361518
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL JOHN LICATACredential: M.D.
Location Address1717 E LINCOLN AVEAnaheim, CA 92805-4345
Mailing Address16702 Valley View AveLa Mirada, CA 90638-5824 · (714) 367-5360 · Fax (714) 635-5428
Fax(714) 635-8547
Sole ProprietorYes
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1740361518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A25662
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1717 E LINCOLN AVE, Anaheim, CA 92805

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.

Podiatrist
1717 E LINCOLN AVE
ANAHEIM, CA 92805
Physician Assistant (Surgical)
1717 E LINCOLN AVE
ANAHEIM, CA 92805
Radiologic Technologist (Magnetic Resonance Imaging)
1717 E LINCOLN AVE
ANAHEIM, CA 92805
Specialist
1717 E LINCOLN AVE
ANAHEIM, CA 92805
Anesthesiology (Pain Medicine)
1717 E LINCOLN AVE
ANAHEIM, CA 92805
Plastic Surgery (Surgery of the Hand)
1717 E LINCOLN AVE
ANAHEIM, CA 92805
Preventive Medicine (Occupational Medicine)
1717 E LINCOLN AVE
ANAHEIM, CA 92805
Specialist
1717 E LINCOLN AVE
ANAHEIM, CA 92805

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 Licata's NPI number?

The NPI number for Paul Licata is 1740361518. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Paul Licata located?

Paul Licata practices at 1717 E Lincoln Ave, Anaheim, CA 92805. The listed phone number is (714) 635-2642.

What is Paul Licata's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Paul Licata was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.