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Jesus Licuanan, M.D.
NPI 1306897780 · Specialist · Buena Park, CA
Jesus Licuanan, M.D. is a Specialist provider in Buena Park, CA (NPI 1306897780).
Provider details
- NPI number
- 1306897780
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
6131 Orangethorpe Ave
Suite 215
Buena Park, CA 90620-1315
Phone: (714) 521-1700
Fax: (714) 521-1003
Street-level locationGet directions
Mailing address
6131 Orangethorpe Ave
Buena Park, CA 90620-1315
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jesus Licuanan's NPI number?
- Jesus Licuanan's National Provider Identifier (NPI) is 1306897780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesus Licuanan's specialty?
- Jesus Licuanan is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jesus Licuanan located?
- Jesus Licuanan's practice location on file with NPPES is 6131 Orangethorpe Ave, Buena Park, CA 90620-1315.
- What is Jesus Licuanan's phone number?
- The practice phone number listed in the NPPES registry for Jesus Licuanan is (714) 521-1700.
- Is Jesus Licuanan's NPI active?
- Yes — Jesus Licuanan's NPI (1306897780) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.