Wayman D. Merrill III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G29834 Issued in CA

Practice address

111 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-6849

Phone

(310) 379-2134

NPI assigned

Jan 8, 2007

Last updated

Dec 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice

Education

University of Chicago, Pritzker School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H Street ClinicGroup PAC ID 3870693781, shared by 5 NPIs, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilmington Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Wilmington, CA
  • NPI 1932194586
  Medicare reassignment NPD
• County of Los Angeles

  dba Martin Luther King, Jr. Outpatient Center

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1780877613
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229731200000",
    "number": "1225186190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 MARINA CITY DR UNIT 1144",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925802",
            "telephone_number": "310-291-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N SEPULVEDA BLVD STE 210",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666849",
            "telephone_number": "310-379-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL III",
        "first_name": "WAYMAN",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G29834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Micaela Meixner, LCSW
• Amy Melchor
• Martin James Melendrez, O.D.
• Melissa Grant Dental Corporation (Toothlings Pediatric Dentistry)
• Michael U Mercado, MD
• Monique Merritt Romick
• Erica Mondro Meyer, PSY.D.
• Michelle Ehrlich M.D. Inc.
• Milk Maidens Lactation
• Quinn Miller-Bedell, MD

• Family Medicine Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.