DR. JOSEFA BADAR LICAS (M.D.) – Psychiatry Physician, NPI 1083650535
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,160 PSYCHIATRY in CA
Provider Addresses for DR. JOSEFA BADAR LICAS (M.D.)
300 RANCHEROS DR STE 130
SAN MARCOS, CA 920692968
Phone: (858) 279-1223
Type: Mailing
1241, Holmgrove Drive, San Marcos, San Diego County, California, 92078, United States
SAN MARCOS, CA 920782800
Phone: (760) 798-7624
Type: Mailing
2120, Thibodo Court, Vista, San Diego County, California, 92081, United States
SUITE 230
VISTA, CA 920817965
Phone: (858) 279-1223
Fax: (760) 597-4880
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2023-05-22 • Largest payer in this snapshot: Tris Pharma Inc ($124).
Total Amount
$124
General + Research + Ownership
Payments
1
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tris Pharma Inc | $124 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-07-06
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070706000604 | I | Psychiatry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92069)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Mental Health Counselor | AZ | |
| Nurse Practitioner | AZ | |
| P S Y C H I A T R Y | CA | |
| Clinical Social Worker | CA | |
| Marriage And Family Therapist | CA | |
| Clinical Psychologist | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | AZ | |
| Mental Health Counselor | CA |
Reviews
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