Individual provider Active NPI

Meriel L Wu, MD

  • Ophthalmology Physician
  • Pasadena, CA
National Provider Identifier
1104897503
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G25807 Issued in CA
Practice address
10 Congress St
#340
Pasadena, CA 91105-3023
Phone
(626) 796-5325
Fax
(626) 796-5526
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G25807 CA Primary

Addresses

Primary practice location

10 Congress St
#340
Pasadena, CA 91105-3023

Mailing address

10 Congress St
#340
Pasadena, CA 91105-3023
Phone (626) 796-5325

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ79446ZMedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100706000695 CA Practitioner - Ophthalmology 7810023926 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G25807CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Eye Medical Group CurrentSince Jan 1, 1973 Accepting new patients
Pasadena Eye Medical Group Ophthalmology CurrentSince Jan 1, 1973 Accepting new patients

Locations

10 Congress St
Ste 340
Pasadena, CA 91105
Phone (626) 796-5325

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1104897503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "#340",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053023",
            "telephone_number": "626-796-5325",
            "fax_number": "626-796-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "#340",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053023",
            "telephone_number": "626-796-5325",
            "fax_number": "626-796-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "MERIEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G25807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ79446Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.