Doctor profile · Federal record
Dr. Pablo Liciaga, DDS
Dentist · San Diego, CA
- NPI 1033126677
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2115 Bacon St
San Diego, CA 92107
(619) 224-2986
fax (619) 224-2982
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- California #49365
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1033126677. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,516
Transactions
6
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Patterson Companies, INC. | 1 | $750.00 | |
| Dentsply Sirona INC | 4 | $718.76 | |
| Ultradent Products INC | 1 | $46.99 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
39
Patients
33
Total drug cost
$195
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 39 | 33 | $195 |
Frequently asked questions
What is Dr. Pablo Liciaga's medical specialty?
Dr. Pablo Liciaga practices Dentist in San Diego, CA.
Where does Dr. Pablo Liciaga practice?
Dr. Pablo Liciaga practices at 2115 Bacon St, San Diego, CA 92107. Office phone: 6192242986.
What is Dr. Pablo Liciaga's NPI?
Dr. Pablo Liciaga's National Provider Identifier (NPI) is 1033126677, issued by NPPES.