William J Wickwire M D Inc a Professional Corporation
NPI 1326119165 · Dermatology Physician · Redondo Beach, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
William J Wickwire M D Inc a Professional Corporation is a Dermatology Physician organization in Redondo Beach, CA (NPI 1326119165).
Provider details
- NPI number
- 1326119165
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Neal Ammar, Ceo(310) 798-1515
- License
- G650830 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Beach Cities Dematology Med Center
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2022-03-24
- Certified
- 2022-03-24
Frequently asked questions
- What is William J Wickwire M D Inc a Professional Corporation's NPI number?
- William J Wickwire M D Inc a Professional Corporation's National Provider Identifier (NPI) is 1326119165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is William J Wickwire M D Inc a Professional Corporation?
- William J Wickwire M D Inc a Professional Corporation is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is William J Wickwire M D Inc a Professional Corporation located?
- William J Wickwire M D Inc a Professional Corporation's practice location on file with NPPES is 520 N Prospect Ave, Redondo Beach, CA 90277-3041.
- What is William J Wickwire M D Inc a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for William J Wickwire M D Inc a Professional Corporation is (310) 798-1515.
- Does William J Wickwire M D Inc a Professional Corporation accept Medicare?
- William J Wickwire M D Inc a Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for William J Wickwire M D Inc a Professional Corporation?
- The authorized official listed on William J Wickwire M D Inc a Professional Corporation's NPPES record is Neal Ammar, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is William J Wickwire M D Inc a Professional Corporation's NPI active?
- Yes — William J Wickwire M D Inc a Professional Corporation's NPI (1326119165) is active in the NPPES registry as of the last update on 2022-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.