Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miramannee L. Merryman, PA

Individual provider Medical Physician Assistant · NPI 1669584736

Miramannee L. Merryman, PA is a Physician Assistant in Santa Monica, California. Qualified in 1999, 27 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2001 Santa Monica Blvd Ste 680W
Santa Monica, CA 90404-2111
Phone: (310) 829-8928
Fax: (310) 315-6157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 — (310) 582-7084

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 17368 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA17368 (CA)

Record details

NPI number1669584736
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 10, 2021
Certification dateDecember 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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