DR. ALVARO ORLANDO LICEAGA


Address: 295 Imperial Hwy, Ste 100, Fullerton, CA 92835-1020
Phone: 7147708300

DR. ALVARO ORLANDO LICEAGA (NPI# 1851452429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851452429
Entity Type Individual
Full Name DR. ALVARO ORLANDO LICEAGA
Credential M.D.
Practice Address 295 Imperial Hwy
Ste 100
Fullerton
CA 92835-1020
Practice Telephone 7147708300
Practice Fax Number 7147708311
Mailing Telephone 7147708300
Mailing Fax Number 7147708311
Enumeration Date 2006-12-13
Last Update Date 2014-02-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
G59013 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 295 IMPERIAL HWY
STE 100
City FULLERTON
State CA
Zip Code 92835-1020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275579195 Regional Pain Treatment Medical Center Inc Pain Medicine 295 Imperial Hwy, Suite 100, Fullerton, CA 92835-1020 2006-06-20
1710305644 Regional Pain Treatment Center Non-Pharmacy Dispensing Site 295 Imperial Hwy, Suite 100, Fullerton, CA 92835-1020 2014-03-28
1992044358 University Foot and Ankle Institute A Podiatric Surgical Center Podiatrist 295 Imperial Hwy, Fullerton, CA 92835-1020 2013-02-05
1730452087 Imperial Surgical Centre LLC Clinic/Center 295 Imperial Hwy, Fullerton, CA 92835-1020 2012-02-17
1679760094 Howard Dedes Physical Medicine & Rehabilitation 295 Imperial Hwy, Fullerton, CA 92835-1020 2007-09-30

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NPI Name Taxonomy Address Enumeration
1538774302 Natalie Baugh Nutritionist 333 W Bastanchury Rd 110, Fullerton, CA 92835 2020-09-09
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1861966087 Kimson F Johnston Marriage & Family Therapist 1370 Brea Blvd Suite 210, Fullerton, CA 92835 2019-01-22
1134636327 Michelle Harriman, Psychologist - A Professional Corporation Psychologist 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 2018-01-09
1659818631 Jacqueline Rene Miller Specialist/Technologist 2610 Associated Rd, Apt A4, Fullerton, CA 92835 2017-01-27
1912361106 John Nathaniel Alvarez Psychiatry & Neurology 401 E Imperial Highway, Fullerton, CA 92835 2016-04-13
1083075030 Advance Recovery Solution, LLC Substance Abuse Rehabilitation Facility 3744 N Hermosa Pl, Fullerton, CA 92835 2016-03-17
1467817981 Michele Ledesma Physical Therapy Assistant 2800 N. Harbor Blvd., Fullerton, CA 92835 2015-12-29
1467820571 Jonghan Kang Acupuncturist 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 2015-09-04
1265840987 Allison Leigh Kennedy Physician Assistant 100 Laguna Rd Ste 208, Fullerton, CA 92835 2014-07-25
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124317870 National Pain Association, Inc Anesthesiology 4100 W Commonwealth Ave, Fullerton, CA 92833-2578 2011-04-04
1437355500 Leo W Kwan Md A Medical Corp Anesthesiology 101 East Valencia, Fullerton, CA 92835-2568 2007-06-25
1063408425 Jerry Fralick Anesthesiology 100 E Valencia Mesa Dr Ste 310, Fullerton, CA 92835-3800 2005-09-21
1689146946 Align Spine Center Anesthesiology 2720 N Harbor Blvd Ste 210, Fullerton, CA 92835-2626 2018-12-27
1558788208 Carl A Hess Md A Medical Corporation Anesthesiology 270 Laguna Rd, Suite 220, Fullerton, CA 92835-2521 2014-03-19
1548466972 Peter Tuxen Md Inc Anesthesiology 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2007-06-22
1285856609 Joseph T Ho Anesthesiology 150 Laguna Rd Ste A, Fullerton, CA 92835-3614 2007-05-03
1154471118 Carl Hess Anesthesiology 270 Laguna Rd, Ste 220, Fullerton, CA 92835-2521 2007-01-11

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NPI Name Taxonomy Address Enumeration
1912512567 Clinicas Del Valle, Inc Anesthesiology 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 2020-09-10
1609489418 Cyrus Dadachanji Md Inc. Anesthesiology 34762 Midland Ave, Murrieta, CA 92563-8419 2020-08-31
1962050401 Sky Anesthesia Inc. Anesthesiology 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 2019-08-28
1932671856 North County Pain Institute Anesthesiology 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 2018-12-18
1285101824 16th Street Anesthesia Services Corp Anesthesiology 2323 16th St Ste 507, Bakersfield, CA 93301-3454 2018-11-01
1033697305 Heyer Anesthesia PC Anesthesiology 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 2018-07-30
1982190229 Algos Inc., A Medical Corporation Anesthesiology 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 2018-07-10
1093200610 Kevin Dinh Trinh, Md Inc. Anesthesiology 100 Fieldwood, Irvine, CA 92618 2018-06-26
1033616644 Howard Siegel Md Inc Anesthesiology 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 2018-04-10
1780198952 Unified Physician Associates Inc Anesthesiology 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 2017-11-27
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Competitor

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City FULLERTON
Zip Code 92835

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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