Individual provider Active NPI

Andrew Merritt, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Laguna Hills, CA
National Provider Identifier
1760455174
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A65482 Issued in CA
Practice address
23422 Mill Creek Dr
Suite 220
Laguna Hills, CA 92653-1688
Phone
(949) 900-1300
Fax
(949) 900-1318
NPI assigned
Feb 8, 2006
Last updated
Feb 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A65482 CA Primary

Addresses

Primary practice location

23422 Mill Creek Dr
Suite 220
Laguna Hills, CA 92653-1688

Mailing address

23422 Mill Creek Dr
Suite 220
Laguna Hills, CA 92653-1688
Phone (949) 900-1300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050303000251 CA Practitioner - Physical Medicine and Rehabilitation 1153375043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Vanderbilt University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew W Merritt MD IncGroup PAC ID 6507218633, 3 clinicians

Practice addresses (Care Compare)

23141 Moulton Pkwy
Suite 201
Laguna Hills, CA 92653-1241
Phone (949) 900-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65482CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew W. Merritt, MD, Inc Physical Medicine & Rehabilitation CurrentSince Dec 1, 2023 Accepting new patients
Southern California Spine and Sport Medical Associates, Inc CurrentSince Apr 1, 2002 Accepting new patients
Community Orthopedic Medical Group Physical Medicine & Rehabilitation Past Accepting new patients
PTRD, Inc. Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

23141 Moulton Pkwy
Laguna Hills, CA 92653
Phone (949) 340-6927

23141 Moulton Pkwy
Ste 201
Laguna Hills, CA 92653
Phone (949) 900-1300

23422 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 900-1300

1401 Avocado Ave
Ste 709
Newport Beach, CA 92660
Phone (949) 644-5800

450 Newport Center Dr
Ste 650
Newport Beach, CA 92660
Phone (949) 644-5800

1401 N Tustin Ave
Ste 360
Santa Ana, CA 92705
Phone (949) 644-5800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17238/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1760455174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23422 MILL CREEK DR",
            "address_2": "SUITE 220",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531688",
            "telephone_number": "949-900-1300",
            "fax_number": "949-900-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23422 MILL CREEK DR",
            "address_2": "SUITE 220",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531688",
            "telephone_number": "949-900-1300",
            "fax_number": "949-900-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A65482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.