Active NPI
Xudong Wu
- Mental Health Counselor
- San Leandro, CA
National Provider Identifier
1114733169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 143293
- Practice address
- 1150 Bancroft Ave
San Leandro, CA 94577-3863 - Phone
- (510) 618-4380
- NPI assigned
- Dec 5, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 143293 | CA | Primary |
Addresses
Primary practice location
1150 Bancroft Ave
San Leandro, CA 94577-3863
Mailing address
PO Box 20093
Castro Valley, CA 94546-8093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143293 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1114733169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20093",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945468093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 BANCROFT AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773863",
"telephone_number": "510-618-4380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "XUDONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "143293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.