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

William James Wickwire, MD

Individual provider Dermatology Physician · NPI 1699779660

William James Wickwire, MD is a Dermatology in Redondo Beach, California. Graduated from University of Cincinnati College of Medicine in 1985, 41 years ago. Practices with William J Wickwire M D Inc a Professional Corporation, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Trained at
University of Cincinnati College of Medicine
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 N Prospect Ave Ste 302
Redondo Beach, CA 90277-3043
Phone: (310) 798-1515
Fax: (310) 798-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G65083 (CA)

Record details

NPI number1699779660
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2005
Last updated in NPPESFebruary 21, 2014
Mailing address520 N Prospect Ave, Ste 302, Redondo Beach, CA 90277-3043

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice William J Wickwire M D Inc A Professional Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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