Active NPI
David Wu, M.D.
- Pain Medicine Physician
- El Segundo, CA
National Provider Identifier
1013113935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- A11085
- Practice address
- 400 Continental Blvd # 6144
El Segundo, CA 90245-5076 - Phone
- (310) 507-9121
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A110885 | CA | |
| Pain Medicine Physician | 208VP0000X | A11085 | CA | Primary |
Addresses
Primary practice location
400 Continental Blvd # 6144
El Segundo, CA 90245-5076
Mailing address
1408 Crenshaw Blvd
Torrance, CA 90501-2433
Phone (424) 256-7356
Other practice location 1
1408 Crenshaw Blvd
Torrance, CA 90501-2433
Phone (424) 256-7356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A110885 | CA | MD | Anesthesiology Physician |
| A11085 | CA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cpi Surgery Center | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Pain Medicine | Past | Accepting new patients |
| Northridge Pain Management Specialists Medical Corporation | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Torrance, CA
- NPI 1134535743
-
dba Synovation Medical Group
- Pain Medicine Physician
- Visalia, CA
- NPI 1245832419
-
- Specialist
- Northridge, CA
- NPI 1972683555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1013113935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 CRENSHAW BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905012433",
"telephone_number": "424-256-7356",
"fax_number": "424-253-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CONTINENTAL BLVD # 6144",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455076",
"telephone_number": "310-507-9121"
}
],
"practiceLocations": [
{
"address_1": "1408 Crenshaw Blvd",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905012433",
"country_code": "US",
"telephone_number": "424-256-7356",
"fax_number": "424-253-0925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WU",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A110885",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A11085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.