Danny Leroy Lickness, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G44986 Issued in CA

Practice address

35 Casa Street
Suite 220
San Luis Obispo, CA 93405-1890

Phone

(805) 786-4111

Fax

(805) 543-6357

NPI assigned

Jul 20, 2006

Last updated

Oct 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of California, Irvine, California College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santa Barbara County Auditor

  dba Physicians Medical Group

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1134162613
  Medicare reassignment Care Compare group NPD
• Obhg California, P.C.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1215258892

  CA

  Medicare reassignment NPD
• Central Coast Obstetrics & Gynecology, Inc.

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
  • NPI 1013181817
  Authorized official Same address or phone
• Central Coast Obstetrics & Gynecology, Inc.

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
  • NPI 1962676775
  Authorized official Same address or phone
• Santa Barbara County Auditor

  dba Santa Barbara County Public Health Department-Bridgehouse

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD
• Santa Barbara County Auditor

  dba Santa Barbara County Public Health Dept-Franklin Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1730271289
  NPD
• Hullander and Mozingo LP

  dba Pacific Pain Physicians

  • Interventional Pain Medicine Physician
  • Bakersfield, CA
  • NPI 1033606553
  NPD (past)
• Mareeni T Stanislaus MD a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Templeton, CA
  • NPI 1922523943
  NPD (past)
• Pacific Central Coast Health Centers

  dba Dignity Health Women's Center - Southwest

  • Community Health Clinic/Center
  • Bakersfield, CA
  • NPI 1720752355
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1275553653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WEST BUNNY AVENUE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934582805",
            "telephone_number": "805-786-4111",
            "fax_number": "805-543-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CASA STREET",
            "address_2": "SUITE 220",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051890",
            "telephone_number": "805-786-4111",
            "fax_number": "805-543-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICKNESS",
        "first_name": "DANNY",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G44986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G449860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB221890",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Liantonio-Barnes
• Alexander Liaw, PA-C
• Shelly Licciardi, SLP
• Geneva Mary Licht
• David Chris Lichti, LMFT
• Life Steps Foundation, Inc.
• Lifecare Solutions Inc
• Jeffrey Jay Lille, PHD
• Kai Lillie, LMFT 137200
• Limberg Eye Surgery a Medical Corporation

• Obstetrics & Gynecology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.