Provider Profile

Alisa Licon, FNP-C

Unclaimed Profile

About Alisa Licon

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Education & Training

School Other Graduated: 2025

Specialty

Nurse Practitioner — Family (Primary)

Credentials & Licensing

CA license95036899
NPI1568315836
NPI issued02/17/2026

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Alisa Licon specialize in?

Alisa Licon is a nurse practitioner in Upland, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where is Alisa Licon located?

Alisa Licon is listed at 685 N 13Th Ave, Upland, CA 91786. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Alisa Licon's phone number?

The number on file is (909) 981-8383. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Alisa Licon's NPI number?

Alisa Licon's National Provider Identifier is 1568315836. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Alisa Licon train?

Alisa Licon attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How long has Alisa Licon been practicing?

Alisa Licon has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Has Alisa Licon confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Alisa Licon. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.