OrganizationActive
Jesus L. Licuanan, M.D. Inc
NPI 1497913057 · Specialist · Buena Park, CA
Jesus L. Licuanan, M.D. Inc is a Specialist organization in Buena Park, CA (NPI 1497913057).
Provider details
- NPI number
- 1497913057
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jesus Licuanan, President/Owner(714) 521-1700
- License
- A42300 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% 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
# 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
- 2008-05-29
- Last updated
- 2023-03-07
Frequently asked questions
- What is Jesus L. Licuanan, M.D. Inc's NPI number?
- Jesus L. Licuanan, M.D. Inc's National Provider Identifier (NPI) is 1497913057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jesus L. Licuanan, M.D. Inc?
- Jesus L. Licuanan, M.D. Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Jesus L. Licuanan, M.D. Inc located?
- Jesus L. Licuanan, M.D. Inc's practice location on file with NPPES is 6131 Orangethorpe Ave, Buena Park, CA 90620-1315.
- What is Jesus L. Licuanan, M.D. Inc's phone number?
- The practice phone number listed in the NPPES registry for Jesus L. Licuanan, M.D. Inc is (714) 521-1700.
- Who is the authorized official for Jesus L. Licuanan, M.D. Inc?
- The authorized official listed on Jesus L. Licuanan, M.D. Inc's NPPES record is Jesus Licuanan, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jesus L. Licuanan, M.D. Inc's NPI active?
- Yes — Jesus L. Licuanan, M.D. Inc's NPI (1497913057) 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.