CECILE CATHERINE NAZARIO LICAUCO D.D.S.
NPI 1912057431
Dentist in La Palma, CA

Q: What is Cecile Catherine Licauco's NPI number?

The NPI number for Cecile Catherine Licauco is 1912057431. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Cecile Catherine Licauco's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since January 10, 2007PECOS Enrolled

30 CENTERPOINTE DR STE 10, LA PALMA, CA 90623(714) 994-0888(714) 994-6038 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Cecile Catherine Nazario Licauco D.d.s. NPPES

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

CECILE CATHERINE NAZARIO LICAUCO D.D.S. (NPI 1912057431) is an individual dentist in La Palma, California, licensed in California (40656) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912057431

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameCECILE CATHERINE NAZARIO LICAUCOCredential: D.D.S.

Location Address30 CENTERPOINTE DR STE 10La Palma, CA 90623-2575

Mailing Address30 Centerpointe Dr Ste 10La Palma, CA 90623-2575 · (714) 994-0888 · Fax (714) 994-6038

Phone(714) 994-0888

Fax(714) 994-6038

Sole ProprietorNo

Enumeration DateJanuary 10, 2007

Last NPPES UpdateOctober 23, 2023

NPPES CertifiedOctober 23, 2023

✔ NPI 1912057431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 40656

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

30 CENTERPOINTE DR STE 10, La Palma, CA 90623

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cecile Catherine Nazario Licauco D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Cecile Catherine Licauco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Last Frontier Healthcare District

544 mi

Critical Access

1111 N NAGLE ST
Alturas, CA 96101

Reassigned Medicare billing, California enrollment
52 clinicians in this Medicare group

NPI 1487669032 (530) 708-8800

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 90623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Cecile Catherine Licauco's NPI number?

The NPI number for Cecile Catherine Licauco is 1912057431. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Cecile Catherine Licauco located?

Cecile Catherine Licauco practices at 30 Centerpointe Dr Ste 10, La Palma, CA 90623. The listed phone number is (714) 994-0888.

What is Cecile Catherine Licauco's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Cecile Catherine Licauco enrolled in Medicare?

Yes. Cecile Catherine Licauco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cecile Catherine Licauco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cecile Catherine Licauco reassigns Medicare benefits to Last Frontier Healthcare District (Alturas, CA). The 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 Cecile Catherine Licauco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cecile Catherine Licauco accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Cecile Catherine Licauco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cecile Catherine Licauco was last updated on October 23, 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.