Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hilda Licon

Individual provider Family Nurse Practitioner · NPI 1356883466

Hilda Licon is a Certified Registered Nurse Anesthetist (CRNA) in Loma Linda, California. Qualified in 2022, 4 years ago. Practices with Sda Services of Ca, a 68-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
4
Licensed in
CA, TX
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (909) 558-8173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001895 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP132500 (TX)

Record details

NPI number1356883466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 7, 2016
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sda Services Of Ca — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Loma Linda