Andrew W Merritt (NPI# 1760455174, PAC ID# 1153375043) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1760455174 |
| PAC ID by PECOS | 1153375043 |
| Professional Enrollment ID | I20050303000251 |
| Full Name | Andrew W Merritt |
| Organization Legal Name | SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES INC |
| Address |
23141 Moulton Pkwy Suite 201 Laguna Hills CA 92653-1241 |
| Phone Number | 9499001300 |
| Gender | M |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 7810896768 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 23141 Moulton Pkwy, Suite 201, Laguna Hills, CA 92653-1241 | 9499001300 | SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES INC |
| 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 | 9496445800 | SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sierra A Moulton | Osteopathic Manipulative Medicine | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Richard M Paicius | Pain Management | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Almira Dukovic | Physician Assistant | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Paolo Gabriel Jorge | Pain Management | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Jeffrey Canter | Physician Assistant | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Street Address |
23141 MOULTON PKWY SUITE 201 |
| City | LAGUNA HILLS |
| State | CA |
| Zip | 92653-1241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam Pourbabak | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Monica M Harms | General Practice | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Yaseen Kady | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Jill E Jones | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Sam Nosrati | Podiatry | Artisan Foot and Ankle Podiatric Specialists Inc | 23141 Moulton Pkwy, Suite 109, Laguna Woods, CA 92653-1241 |
| Brian E Chavez | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Devon N Glazer | Podiatry | Artisan Foot and Ankle Podiatric Specialists Inc | 23141 Moulton Pkwy, Suite 109, Laguna Woods, CA 92653-1241 |
| Kristy F Fleming | Dermatology | 23141 Moulton Pkwy, Suite 110, Laguna Hills, CA 92653-1241 | |
| Lynn Elizabeth Napoli | Family Medicine | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Priyanka Bhat Krishnan | Internal Medicine | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C. Chang | Anesthesiology | West Coast Anesthesia of Pacific Hills | 24022 La Plata, Suite 180, Laguna Hills, CA 92653 |
| David G Woodward | Anesthesiology | West Coast Anesthesia of Pacific Hills | 24022 La Plata, Suite 180, Laguna Hills, CA 92653 |
| Jose D Fojas | Physical Therapy | Rehab Alliance | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 |
| Brooke Varon | Physical Therapy | Rehab Alliance | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 |
| Wendy U Tran | Optometry | 22972 Moulton Pkwy, Suite 104, Laguna Hills, CA 92653-1219 | |
| Rahil A Bandukwala | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Shilpa J Mehta | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Mozhgan Ashtari | Internal Medicine | 23141 Moulton Pkwy, Suite 202, Laguna Hills, CA 92653-1241 | |
| Marlene Yacoob | Family Medicine | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Ku Juey R Chang | Nephrology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Find all physicians in zip 92653 | |||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | LAGUNA HILLS + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Andrew W Merritt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.