Organization Active NPI

Wu Chiropractic Inc

  • Nutrition Chiropractor
  • Chino, CA
National Provider Identifier
1093902736
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC21572 Issued in CA
Legal business name
WU CHIROPRACTIC INC
Practice address
13768 Roswell Ave
Suite 209
Chino, CA 91710-1401
Phone
(909) 396-9500
Fax
(909) 752-4175
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Helen Wu
Title
Office Manager
Phone
(909) 396-9500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X DC21572 CA Primary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X DC21572 CA

Addresses

Primary practice location

13768 Roswell Ave
Suite 209
Chino, CA 91710-1401

Mailing address

13768 Roswell Ave
Suite 209
Chino, CA 91710-1401
Phone (909) 396-9500

Other names 1

  • Well Fit Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060306000750 CA Part B Supplier - Clinic/Group Practice 9133135791 Receives reassigned benefits from 1 practitioner
Practice locations: Chino, CA

National Provider Directory

National Provider Directory

Locations

13768 Roswell Ave
Ste 20
Chino, CA 91710
Phone (909) 396-9500

13768 Roswell Ave
Ste 209
Chino, CA 91710
Phone (909) 396-9500

1401 S Diamond Bar Blvd
Diamond Bar, CA 91765
Phone (909) 396-9500

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1093902736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 209",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-396-9500",
            "fax_number": "909-752-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 209",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-396-9500",
            "fax_number": "909-752-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WU CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-396-9500"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC21572",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "DC21572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Fit Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.