Individual provider Active NPI

Henry Cheng-Ju Wu, M.D., PH.D.

  • Pain Medicine (Anesthesiology) Physician
  • Walnut Creek, CA
National Provider Identifier
1093179004
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A196806 Issued in CA
Practice address
1425 S Main St
Walnut Creek, CA 94596-5318
Phone
(925) 295-4000
NPI assigned
Apr 6, 2016
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 64537 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X A196806 CA Primary
Interventional Pain Medicine Physician 208VP0014X 64537 AZ

Addresses

Primary practice location

1425 S Main St
Walnut Creek, CA 94596-5318

Mailing address

2415 San Ramon Valley Blvd Ste 4811
San Ramon, CA 94583-5381
Phone (650) 560-7400

Other practice location 1

111 Deerwood Rd Ste 305
San Ramon, CA 94583-1530
Phone (650) 560-7400

Other practice location 2

4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone (925) 813-6500

Other practice location 3

5301 E Grant Rd
Tucson, AZ 85712-2874
Phone (520) 742-4008

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210927002715 AZ Practitioner - AnesthesiologyPractitioner - Pain Management 4486919412 Reassigns benefits to 2 organizations
I20250414003291 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 4486919412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Texas Medical School at Houston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians

Practice addresses (Care Compare)

111 Deerwood Rd
Suite 305
San Ramon, CA 94583-1530
Phone (279) 204-1134

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
64537AZMDAnesthesiology Physician
A196806CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Anesthesiology Current Accepting new patients
Permanente Medical Group Inc Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Sedaze Anesthesia Consultants a Professional Nursing Corporation CurrentSince Oct 9, 2025 Accepting new patients
Arizona Pain Care Center, PLLC CurrentSince Sep 14, 2021 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jun 1, 2025 Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
River City Surgery Center PC CurrentSince Dec 14, 2025 Accepting new patients
Paramount Pain Solutions PC Pain Medicine CurrentSince Jul 16, 2025 Accepting new patients
Banner-University Medical Group Anesthesiology Past Accepting new patients

Locations

12480 N Rancho Vistoso Blvd
Ste 180
Oro Valley, AZ 85755
Phone (520) 544-5130

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

4501 Sand Creek Rd
Antioch, CA 94531
Phone (925) 813-6420

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

20998 Redwood Rd
Castro Valley, CA 94546
Phone (510) 538-2828

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2288 Auburn Blvd
Ste 201
Sacramento, CA 95821
Phone (916) 646-8300

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

111 Deerwood Rd
Ste 305
San Ramon, CA 94583
Phone (279) 204-1134

2415 San Ramon Valley Blvd
Ste 4811
San Ramon, CA 94583

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1739 4th St
Santa Rosa, CA 95404
Phone (707) 528-6331

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

1425 S Main St
Walnut Creek, CA 94596
Phone (925) 295-4130

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEIBD

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1093179004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 SAN RAMON VALLEY BLVD STE 4811",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835381",
            "telephone_number": "650-560-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S MAIN ST",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965318",
            "telephone_number": "925-295-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Deerwood Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945831530",
            "country_code": "US",
            "telephone_number": "650-560-7400",
            "fax_number": "310-593-9989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4501 Sand Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945318687",
            "country_code": "US",
            "telephone_number": "925-813-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122874",
            "country_code": "US",
            "telephone_number": "520-742-4008",
            "fax_number": "520-742-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "HENRY",
        "middle_name": "CHENG-JU",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "64537",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A196806",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "64537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1425 S Main St",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945965318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.