Organization Active NPI

Efren F Wu MD Inc

  • Sports Medicine (Family Medicine) Physician
  • La Quinta, CA
National Provider Identifier
1104250851
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A121278 Issued in CA
Legal business name
EFREN F WU MD INC
Practice address
47647 Caleo Bay Dr Ste 130
La Quinta, CA 92253-8857
Phone
(760) 360-1000
Fax
(760) 610-6171
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Efren F Wu, M.D.
Title
Owner
Phone
(646) 753-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X A121278 CA Primary

Addresses

Primary practice location

47647 Caleo Bay Dr Ste 130
La Quinta, CA 92253-8857

Mailing address

47647 Caleo Bay Dr Ste 130
La Quinta, CA 92253-8857
Phone (760) 360-1000

National Provider Directory

National Provider Directory

Locations

79440 Corporate Center Dr
Ste 118
La Quinta, CA 92253
Phone (760) 698-8128

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": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1104250851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47647 CALEO BAY DR STE 130",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538857",
            "telephone_number": "760-360-1000",
            "fax_number": "760-610-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47647 CALEO BAY DR STE 130",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538857",
            "telephone_number": "760-360-1000",
            "fax_number": "760-610-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFREN F WU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "EFREN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-753-0121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A121278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.