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DR. LAWRENCE KENNETH WICKHAM M. D.
NPI 1982667820
Pediatrics - Neonatal-Perinatal Medicine in Orange, CA

Active since April 11, 2006PECOS Enrolled
455 S MAIN ST, ORANGE, CA 92868(714) 532-8622(714) 289-4508 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lawrence Kenneth Wickham M. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE KENNETH WICKHAM M. D. (NPI 1982667820) is an individual neonatal-perinatal medicine provider in Orange, California, licensed in California (A29385) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982667820
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. LAWRENCE KENNETH WICKHAMCredential: M. D.
Location Address455 S MAIN STOrange, CA 92868-3835
Mailing Address455 S Main StOrange, CA 92868-3835 · (714) 532-8622 · Fax (714) 289-4508
Phone(714) 532-8622
Fax(714) 289-4508
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982667820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A29385
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
455 S MAIN ST, Orange, CA 92868
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lawrence Kenneth Wickham M. D. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC SUBSPECIALTY FACULTY, INC.
Surgery (Pediatric Surgery)
455 S MAIN ST, GENERAL SURGERY
ORANGE, CA 92868
Orange County (714) 364-4050
PEI LIN CHANG M.D.
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 558-2462
JENNIFER MICHELLE SHIVELY N.P.
Nurse Practitioner (Pediatrics, Critical Care)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 204-3277
ANTOINE SOLIMAN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 289-4511
DR. JEFFREY H HO D.O.
Pediatrics (Pediatric Gastroenterology)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 289-4099
DR. MARITA FORTADES MD
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-8767
DR. SHARON KIM MD
Psychiatry & Neurology (Neurology)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-7601
MS. NANCY ANN VARNI CPNP
Nurse Practitioner (Pediatrics)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-8634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Wickham's NPI number?

The NPI number for Lawrence Wickham is 1982667820. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Lawrence Wickham located?

Lawrence Wickham practices at 455 S Main St, Orange, CA 92868. The listed phone number is (714) 532-8622.

What is Lawrence Wickham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Lawrence Wickham enrolled in Medicare?

Yes. Lawrence Wickham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lawrence Wickham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.