NPIMap

Organization Active NPI

Jimmy Wu Chiropractic Corp.

Doing business as excel chiro medical care

  • Chiropractor
  • Hacienda HTS, CA
National Provider Identifier
1104922103
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24672 Issued in CA
Legal business name
JIMMY WU CHIROPRACTIC CORP.
Doing business as
excel chiro medical care
Practice address
15722 East Gale Ave
#A
Hacienda HTS, CA 91745-1518
Phone
(626) 330-8899
Fax
(626) 330-8699
NPI assigned
Sep 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jimmy Chung-Te Wu, D.C.NPI 1770689846
Title
President
Phone
(626) 330-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC24672 CA Primary

Addresses

Primary practice location

15722 East Gale Ave
#A
Hacienda HTS, CA 91745-1518

Mailing address

15722 Gale Ave
#A
Hacienda HTS, CA 91745-1518
Phone (626) 330-8899

Other names 1

  • excel chiro medical care Doing business as

National Provider Directory

National Provider Directory

Locations

15722 Gale Ave
Ste A
Hacienda Heights, CA 91745
Phone (626) 330-8899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104922103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15722 GALE AVE",
            "address_2": "#A",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917451518",
            "telephone_number": "626-330-8899",
            "fax_number": "626-330-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15722 EAST GALE AVE",
            "address_2": "#A",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917451518",
            "telephone_number": "626-330-8899",
            "fax_number": "626-330-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY WU CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "CHUNG-TE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-330-8899",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "excel chiro medical care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hacienda HTS, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.