Wendy Lee Margaret Merritt

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1310 Russell St
La Habra, CA 90631-2533

Phone

(267) 436-3857

NPI assigned

Sep 25, 2018

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1033694070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 RUSSELL ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312533",
            "telephone_number": "267-436-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 RUSSELL ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312533",
            "telephone_number": "267-436-3857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "763 W Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863036728",
            "country_code": "US",
            "telephone_number": "267-436-3857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "WENDY",
        "middle_name": "LEE MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "369463069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3G18-JE7-UU45",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vladimir Melkumyan
• Adriana Jennifer Mendez, LCSW
• Andrew Robert Mendez
• Jasmine Mendoza
• Marilyn Mennig, NP
• John Miceli Jr., D.C.
• Michael C McClane DDS a Professional Corporation
• Kimberly Marianna Michel, MS PSS CREDENTIAL
• Scott Middleton, M.D.
• Mike C Jou DPM Inc

• Rehabilitation Practitioner in La Habra, CA
• Providers in La Habra, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.