Active NPI
Kong-Tay Wu, M.D, Inc
- Pediatrics Physician
- Ontario, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A30553
- Legal business name
- KONG-TAY WU, M.D, INC
- Practice address
- 437 N Campus Ave
Ontario, CA 91764-4229 - Phone
- (909) 622-6433
- Fax
- (909) 469-2524
- NPI assigned
- Jul 30, 2010
- Last updated
- Jul 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kong-Tay Wu, M.D.
- Title
- President
- Phone
- (909) 622-6433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A30553 | CA | Primary |
Addresses
Primary practice location
437 N Campus Ave
Ontario, CA 91764-4229
Mailing address
1818 N Orange Grove Ave
Ste 200
Pomona, CA 91767-3028
Phone (909) 988-8203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0083540 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Kong-Tay Wu MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Pomona, CA
- NPI 1790989267
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.
-
- Pediatrics Physician
- Pomona, CA
- NPI 1538149919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280448000000",
"number": "1114231222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 N ORANGE GROVE AVE",
"address_2": "STE 200",
"city": "POMONA",
"state": "CA",
"postal_code": "917673028",
"telephone_number": "909-988-8203",
"fax_number": "909-988-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 N CAMPUS AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644229",
"telephone_number": "909-622-6433",
"fax_number": "909-469-2524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KONG-TAY WU, M.D, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-30",
"last_updated": "2010-07-30",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "KONG-TAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-622-6433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A30553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0083540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.