Organization Active NPI

Socal Thoracic Surgical Associates Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pasadena, CA
National Provider Identifier
1013288463
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
SOCAL THORACIC SURGICAL ASSOCIATES INC
Practice address
260 S Los Robles Ave Ste 118
Pasadena, CA 91101-2869
Phone
(626) 666-5820
Fax
(626) 666-5821
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James T. Wu, M. D.NPI 1407873995
Title
President/Owner
Phone
(626) 666-5820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

260 S Los Robles Ave Ste 118
Pasadena, CA 91101-2869

Mailing address

260 S Los Robles Ave Ste 118
Pasadena, CA 91101-2869
Phone (626) 666-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000107 CA Part B Supplier - Clinic/Group Practice 1153583257 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

224 S Santa Anita Ave
Arcadia, CA 91006
Phone (626) 447-5800

260 S Los Robles Ave
Pasadena, CA 91101

246 S De Lacey Ave
Pasadena, CA 91105
Phone (626) 666-5820

260 S Los Robles Ave
Ste 118
Pasadena, CA 91101
Phone (626) 666-5820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1013288463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S LOS ROBLES AVE STE 118",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012869",
            "telephone_number": "626-666-5820",
            "fax_number": "626-666-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S LOS ROBLES AVE STE 118",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012869",
            "telephone_number": "626-666-5820",
            "fax_number": "626-666-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL THORACIC SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "626-666-5820",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.