Active NPI
Peter E Wu, M.D.
- Family Medicine Physician
- South Gate, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G72358
- Practice address
- 8401 Long Beach Blvd
South Gate, CA 90280-2014 - Phone
- (323) 277-9010
- Fax
- (323) 277-9012
- NPI assigned
- Oct 26, 2006
- Last updated
- Apr 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G72358 | CA | Primary |
Addresses
Primary practice location
8401 Long Beach Blvd
South Gate, CA 90280-2014
Mailing address
8401 Long Beach Blvd
South Gate, CA 90280-2014
Phone (323) 277-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G72358 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oc Urgentcare Medical Group Incorporated | Current | Accepting new patients | |
| Oc Urgentcare Medical Group Incorporated | Current | Accepting new patients | |
| Be Chiropractic PC | Current | Accepting new patients |
Locations
631 S Brookhurst St
Ste 101
Anaheim, CA 92804
Phone (714) 991-5700
23653 El Toro Rd
Ste B
Lake Forest, CA 92630
Phone (714) 847-3030
867 S Tustin St
Orange, CA 92866
Phone (714) 771-1420
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADEBBD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1083940597
-
- Family Medicine Physician
- South Gate, CA
- NPI 1023243193
-
- Chiropractor
- Orange, CA
- NPI 1205702560
-
dba Oc Urgent Care Anaheim 2
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1124692314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333670400000",
"number": "1023193117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 LONG BEACH BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802014",
"telephone_number": "323-277-9010",
"fax_number": "323-277-9012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 LONG BEACH BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802014",
"telephone_number": "323-277-9010",
"fax_number": "323-277-9012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "PETER",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2012-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G72358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.