Active NPI
Michael Lee Merrin, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Santa Barbara, CA
National Provider Identifier
1194719633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- G18945
- Practice address
- 1919 State Street
Suite 302
Santa Barbara, CA 93101-2430 - Phone
- (805) 563-9814
- Fax
- (805) 563-9838
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | G18945 | CA | Primary |
Addresses
Primary practice location
1919 State Street
Suite 302
Santa Barbara, CA 93101-2430
Mailing address
PO Box 50706
Santa Barbara, CA 93150-0706
Phone (805) 963-3757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G189450 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G18945 | CA | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1194719633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50706",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931500706",
"telephone_number": "805-963-3757",
"fax_number": "805-564-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 STATE STREET",
"address_2": "SUITE 302",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012430",
"telephone_number": "805-563-9814",
"fax_number": "805-563-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIN",
"first_name": "MICHAEL",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "CA",
"license": "G18945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G189450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.