Active NPI 1699779660 Individual Practitioner Male Practitioner

Dr. William James Wickwire , MD

Dermatology • Redondo Beach, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Wickwire, MD is a certified Dermatology practicing in Redondo Beach, CA. With approximately 41 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1985, Dr. Wickwire delivers high-quality medical care to the local community at 520 N PROSPECT AVE.

Dr. Wickwire is affiliated with William J Wickwire M D Inc A Professional Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, pathology examination of tissue using a microscope, intermediate complexity, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 N Prospect Ave
Ste 302

Redondo Beach, CA 902773043

Telephone 3107981515

Fax 3107983131

Associated Practice Facility / Clinic

🏢 Aarchan Joshi, M.d. Inc Facility NPI 1306924238

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Redondo Beach, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +18.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Redondo Beach, CA (2182 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wickwire (41 Years) 41 Yrs

Redondo Beach Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,634	379	$8.35	$7.46
88305 Pathology examination of tissue using a microscope, intermediate complexity	871	518	$106.27	$78.67
17110 Destruction of up to 14 skin growths	809	591	$132.44	$120.60
17000 Destruction of skin growth	728	525	$94.39	$43.19
99213 Established patient office or other outpatient visit, typically 15 minutes	727	501	$100.28	$97.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	553	58	$2.02	$0.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	410	348	$141.44	$135.80
11102 Tangential biopsy of single skin lesion	363	309	$115.49	$80.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	113	$62.95	$60.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$124.50	$117.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$180.79	$177.21
11103 Biopsy of related skin growth, each additional growth	92	66	$58.15	$55.36
67850 Destruction of growth of eyelid margin, 1.0 cm or less	71	66	$253.35	$234.63
11900 Injection into skin growth, 1-7 growths	56	51	$66.87	$44.75
17004 Destruction of precancer skin growth, 15 or more growths	56	50	$196.70	$182.81
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	27	$284.83	$134.06
11000 Removal of inflamed or infected skin, up to 10% of body surface	28	24	$66.11	$41.92
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	28	26	$479.91	$424.21
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	23	$498.40	$459.54
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	18	$624.85	$488.09
10060 Simple or single drainage of skin abscess	17	17	$146.95	$120.36
69100 Biopsy of ear	17	15	$121.59	$76.51
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$234.34	$207.59
11901 Injection into skin growth, more than 7 growths	14	11	$84.70	$74.48
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$189.99	$100.37
67810 Biopsy of eyelid	12	11	$251.12	$185.65
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$309.89	$145.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,610	375	$8.37	$7.52
99213 Established patient office or other outpatient visit, typically 15 minutes	925	614	$102.23	$96.69
88305 Pathology examination of tissue using a microscope, intermediate complexity	826	449	$106.31	$79.28
17110 Destruction of up to 14 skin growths	747	552	$131.98	$120.79
17000 Destruction of skin growth	703	496	$97.54	$43.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	636	58	$2.01	$1.07
11102 Tangential biopsy of single skin lesion	345	298	$120.73	$84.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	174	$143.95	$136.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$124.49	$119.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	92	$66.27	$61.26
11103 Biopsy of related skin growth, each additional growth	109	74	$66.21	$56.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$184.65	$176.02
67850 Destruction of growth of eyelid margin, 1.0 cm or less	60	57	$252.40	$240.68
11900 Injection into skin growth, 1-7 growths	59	47	$67.64	$45.74
17004 Destruction of precancer skin growth, 15 or more growths	43	40	$204.45	$186.86
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	39	35	$280.35	$134.17
10060 Simple or single drainage of skin abscess	34	34	$145.85	$128.56
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	26	24	$476.78	$436.79
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	25	23	$502.73	$467.71
11000 Removal of inflamed or infected skin, up to 10% of body surface	25	24	$62.56	$46.01
69100 Biopsy of ear	23	20	$120.49	$66.68
11901 Injection into skin growth, more than 7 growths	22	16	$82.62	$67.72
67810 Biopsy of eyelid	18	18	$250.72	$170.76
17111 Destruction of skin growth, 15 or more growths	16	12	$154.53	$143.41
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$666.51	$523.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,598	363	$8.37	$7.69
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,070	562	$106.52	$79.76
17110 Destruction of up to 14 skin growths	795	558	$132.06	$120.64
99213 Established patient office or other outpatient visit, typically 15 minutes	766	488	$102.32	$97.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	706	72	$2.04	$1.15
17000 Destruction of skin growth	692	476	$97.60	$43.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	431	363	$143.94	$138.11
11102 Tangential biopsy of single skin lesion	359	293	$120.77	$82.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$183.00	$179.86
11103 Biopsy of related skin growth, each additional growth	123	81	$65.29	$57.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$124.61	$121.60
17004 Destruction of precancer skin growth, 15 or more growths	77	61	$203.73	$188.96
67850 Destruction of growth of eyelid margin, 1.0 cm or less	66	60	$252.66	$238.82
11900 Injection into skin growth, 1-7 growths	64	56	$67.62	$43.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	44	$65.00	$60.61
10060 Simple or single drainage of skin abscess	39	39	$145.19	$124.57
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	33	32	$465.94	$434.35
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	27	$287.72	$136.80
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	27	26	$609.41	$521.78
11901 Injection into skin growth, more than 7 growths	26	19	$85.04	$66.86
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	21	19	$502.67	$481.53
67810 Biopsy of eyelid	21	20	$251.31	$196.89
69100 Biopsy of ear	17	16	$121.49	$79.72
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	15	$302.97	$147.25
17111 Destruction of skin growth, 15 or more growths	15	13	$155.18	$129.95
11000 Removal of inflamed or infected skin, up to 10% of body surface	14	14	$63.84	$36.79
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$196.43	$98.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,597	339	$8.90	$7.37
88305 Pathology examination of tissue using a microscope, intermediate complexity	900	457	$106.12	$79.71
17110 Destruction of up to 14 skin growths	739	532	$131.43	$121.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	720	60	$2.01	$1.23
17000 Destruction of skin growth	629	445	$96.52	$42.56
99213 Established patient office or other outpatient visit, typically 15 minutes	520	362	$99.81	$97.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	512	400	$143.50	$140.07
11102 Tangential biopsy of single skin lesion	313	254	$120.31	$86.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$180.43	$179.37
11103 Biopsy of related skin growth, each additional growth	119	88	$65.20	$59.68
17004 Destruction of precancer skin growth, 15 or more growths	105	89	$190.54	$186.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	64	$64.98	$61.06
11900 Injection into skin growth, 1-7 growths	67	52	$66.68	$42.04
67850 Destruction of growth of eyelid margin, 1.0 cm or less	66	60	$251.86	$241.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$123.74	$122.16
10060 Simple or single drainage of skin abscess	44	40	$146.08	$128.70
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	27	$279.72	$137.35
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	28	26	$638.95	$536.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	24	22	$491.56	$459.29
11000 Removal of inflamed or infected skin, up to 10% of body surface	19	14	$65.33	$36.30
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	18	17	$453.94	$449.58
69100 Biopsy of ear	16	12	$122.61	$76.69
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$308.57	$150.97
11901 Injection into skin growth, more than 7 growths	14	11	$82.49	$72.75
67810 Biopsy of eyelid	13	12	$244.29	$194.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,616	346	$10.46	$6.81
99213 Established patient office or other outpatient visit, typically 15 minutes	1,059	638	$84.86	$81.53
88305 Pathology examination of tissue using a microscope, intermediate complexity	836	408	$98.31	$79.06
17110 Destruction of up to 14 skin growths	707	495	$129.30	$121.11
17000 Destruction of skin growth	642	438	$94.83	$41.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	600	57	$2.04	$1.45
11102 Tangential biopsy of single skin lesion	351	283	$117.19	$77.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$119.41	$116.48
11103 Biopsy of related skin growth, each additional growth	137	83	$62.27	$58.95
17004 Destruction of precancer skin growth, 15 or more growths	109	92	$194.63	$177.29
67850 Destruction of growth of eyelid margin, 1.0 cm or less	63	56	$242.32	$241.38
11900 Injection into skin growth, 1-7 growths	52	45	$64.88	$41.56
10060 Simple or single drainage of skin abscess	42	41	$130.75	$119.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	34	$52.00	$49.20
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	31	$279.15	$138.20
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	32	28	$474.45	$472.59
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	26	$443.72	$424.53
11901 Injection into skin growth, more than 7 growths	24	13	$80.43	$68.23
69100 Biopsy of ear	22	17	$120.30	$80.46
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	20	$604.69	$530.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$129.90	$114.90
17111 Destruction of skin growth, 15 or more growths	20	20	$152.69	$144.25
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$285.59	$143.03
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	11	$305.60	$155.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,654	366	$11.19	$6.22
99213 Established patient office or other outpatient visit, typically 15 minutes	1,308	749	$84.89	$80.09
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,001	532	$99.63	$76.55
17110 Destruction of up to 14 skin growths	763	540	$129.38	$117.27
17000 Destruction of skin growth	749	503	$95.27	$43.17
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	610	53	$2.02	$1.54
11102 Tangential biopsy of single skin lesion	399	339	$116.36	$82.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	187	187	$120.74	$116.60
11103 Biopsy of related skin growth, each additional growth	132	84	$61.81	$58.86
17004 Destruction of precancer skin growth, 15 or more growths	127	96	$194.37	$166.68
11900 Injection into skin growth, 1-7 growths	60	46	$64.85	$41.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	50	$51.83	$49.05
67850 Destruction of growth of eyelid margin, 1.0 cm or less	55	53	$242.60	$237.13
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	41	37	$456.06	$427.73
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	34	$281.66	$137.41
10061 Complicated or multiple drainage of skin abscess	35	31	$223.73	$195.78
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	33	32	$479.09	$448.56
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	31	29	$621.58	$508.91
10060 Simple or single drainage of skin abscess	23	22	$129.97	$122.99
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$191.13	$94.54
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	21	$307.86	$143.86
69100 Biopsy of ear	20	18	$120.47	$75.91
11901 Injection into skin growth, more than 7 growths	18	11	$79.67	$64.52
17111 Destruction of skin growth, 15 or more growths	17	17	$153.70	$126.29
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$310.16	$142.78
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$223.40	$201.64
11000 Removal of inflamed or infected skin, up to 10% of body surface	12	11	$61.82	$51.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,873	402	$10.51	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	1,302	754	$84.33	$74.33
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,046	497	$97.88	$72.29
17000 Destruction of skin growth	804	553	$95.17	$41.01
17110 Destruction of up to 14 skin growths	790	548	$129.75	$112.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	677	56	$1.94	$1.72
11100 Biopsy of single growth of skin and/or tissue	423	343	$120.75	$79.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	203	203	$120.48	$108.46
11101 Biopsy of each additional growth of skin and/or tissue	162	99	$37.22	$32.65
17004 Destruction of precancer skin growth, 15 or more growths	127	90	$195.02	$148.54
67850 Destruction of growth of eyelid margin, 1.0 cm or less	72	65	$243.20	$225.07
11900 Injection into skin growth, 1-7 growths	68	49	$65.28	$40.63
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	54	48	$277.66	$125.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	47	$49.42	$44.99
10061 Complicated or multiple drainage of skin abscess	48	42	$225.31	$209.86
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	45	36	$442.23	$398.21
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	38	38	$473.98	$428.91
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	28	25	$598.56	$485.91
17111 Destruction of skin growth, 15 or more growths	25	23	$153.55	$133.23
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	16	$307.28	$139.70
69100 Biopsy of ear	17	17	$121.14	$65.10
11901 Injection into skin growth, more than 7 growths	16	12	$80.42	$59.69
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$226.28	$205.51
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$304.22	$142.52
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$181.54	$85.34
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$215.62	$185.82
67810 Biopsy of eyelid	11	11	$256.55	$183.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,384	453	$10.63	$6.00
99213 Established patient office or other outpatient visit, typically 15 minutes	1,509	875	$84.68	$76.32
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,083	543	$99.34	$72.61
17000 Destruction of skin growth	830	589	$95.24	$43.77
17110 Destruction of up to 14 skin growths	726	539	$129.44	$111.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	626	54	$1.69	$1.63
11100 Biopsy of single growth of skin and/or tissue	497	419	$121.99	$82.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	202	202	$120.00	$110.99
11101 Biopsy of each additional growth of skin and/or tissue	192	127	$37.67	$33.61
17004 Destruction of precancer skin growth, 15 or more growths	154	114	$197.36	$159.36
67850 Destruction of growth of eyelid margin, 1.0 cm or less	97	88	$243.01	$228.42
11900 Injection into skin growth, 1-7 growths	51	45	$65.02	$42.33
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	47	44	$478.87	$448.17
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	44	41	$282.46	$128.88
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	39	36	$460.57	$411.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$49.79	$46.28
69100 Biopsy of ear	35	27	$121.58	$72.37
10061 Complicated or multiple drainage of skin abscess	29	26	$209.97	$196.01
17111 Destruction of skin growth, 15 or more growths	28	20	$151.65	$137.47
11901 Injection into skin growth, more than 7 growths	28	13	$81.92	$70.72
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	24	24	$612.20	$499.69
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	20	$189.47	$92.22
10060 Simple or single drainage of skin abscess	21	20	$130.14	$109.69
67810 Biopsy of eyelid	19	19	$250.80	$169.49
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	18	$299.97	$142.30
11000 Removal of inflamed or infected skin, up to 10% of body surface	17	17	$61.20	$41.11
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$293.45	$136.34

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CA G65083

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G650830 (CA)

Commercial Insurance / Payer ID Ptan

WG65083E (CA)

Hospital & Practice Group Affiliations

William J Wickwire M D Inc A Professional Corporation

40731 Big Bear Blvd, Big Bear Lake, CA 923152047

Phone: 9098668688

William J Wickwire M D Inc A Professional Corporation

3831 Hughes Ave, Culver City, CA 902326808

Phone: 3102043376

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Fariba Seraj , NP, PA

Nurse Practitioner

NPI 1346268919

Nurse Practitioner, Physician Assistant

Kelly Tran , PA-C

Physician Assistant

NPI 1487295549

Physician Assistant (Certified)

Dr. Geover Fernandez , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1639103138

Doctor of Medicine (M.D.)

Dr. Neal Ammar , MD

Dermatology

NPI 1851460950

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 21, 2014

Registered at 520 N PROSPECT AVE, STE 302, REDONDO BEACH, CA 902773043 (Tel: 3107981515)

📍

Updated Business Mailing Address February 21, 2014

Registered at 520 N PROSPECT AVE, STE 302, REDONDO BEACH, CA 902773043 (Tel: 3107981515)

👤

Provider Name / Credentials Updated February 21, 2014

Recorded as WILLIAM WICKWIRE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2014

Dermatology (License #G65083 in CA)

🟢

Initial NPI Registration & Enumeration June 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1699779660

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 08, 2005

Last Update: February 21, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

520 N Prospect Ave, Ste 302

Redondo Beach, CA 902773043

Phone: 3107981515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.