John Ya-Li Wu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2788 Trapper Springs Ave
Tulare, CA 93274-6261

Phone

(559) 759-9224

NPI assigned

Oct 12, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.wu.p1@direct.altura.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1023011632
  Medicare reassignment NPD (past)
• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1568827210
  NPD
• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1629835426
  NPD

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1023529484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 TRAPPER SPRINGS AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932746261",
            "telephone_number": "559-759-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2788 TRAPPER SPRINGS AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932746261",
            "telephone_number": "559-759-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JOHN",
        "middle_name": "YA-LI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Wilson
• Tessa Wilson
• Rebecca Everett Wolfe, RDHAP, BS
• Arthur Wong, MD
• Dominic Leandry Wouna Angong, MD
• Keng I James Wu, DO
• Xilang Yang
• Theodor Yasko, MD
• Johnson Yeboah
• Sunyoung Yi

• Physician Assistant in Tulare, CA
• Providers in Tulare, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.

Verify at the official NPI Registry.