Ernesto Licon, MD
NPI 1194254896 · Obstetrics & Gynecology Physician · Orange, CA
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ernesto Licon, MD is a Obstetrics & Gynecology Physician provider in Orange, CA (NPI 1194254896).
Provider details
- NPI number
- 1194254896
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A160205 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1200 N. State St.Ipt C3f107Los Angeles, CA 90033Phone: (915) 731-4713
Registry dates
- Enumerated
- 2017-06-06
- Last updated
- 2023-03-07
- Certified
- 2023-03-07
Frequently asked questions
- What is Ernesto Licon's NPI number?
- Ernesto Licon's National Provider Identifier (NPI) is 1194254896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ernesto Licon's specialty?
- Ernesto Licon is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Ernesto Licon located?
- Ernesto Licon's practice location on file with NPPES is 101 the City Dr S, Orange, CA 92868-3201.
- What is Ernesto Licon's phone number?
- The practice phone number listed in the NPPES registry for Ernesto Licon is (714) 880-2911.
- Does Ernesto Licon accept Medicare?
- Ernesto Licon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ernesto Licon's NPI active?
- Yes — Ernesto Licon's NPI (1194254896) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.