Active NPI
Meriel L Wu, MD
- Ophthalmology Physician
- Pasadena, CA
National Provider Identifier
1104897503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G25807
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ79446Z | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G25807 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Eye Medical Group | Current | Accepting new patients | |
| Pasadena Eye Medical Group | Ophthalmology | Current | 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.
-
- Medical Specialty Clinic/Center
- Pasadena, CA
- NPI 1134292121
Ophthalmology
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1942301395
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.