Individual provider Active NPI

Joan Chia-Chiu Wu, M.D.

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1144345372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A75942 Issued in CA
Practice address
100 UCLA Medical PLZ
Suite 730
Los Angeles, CA 90024-6970
Phone
(310) 209-1440
Fax
(310) 209-0070
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A75942 CA Primary

Addresses

Primary practice location

100 UCLA Medical PLZ
Suite 730
Los Angeles, CA 90024-6970

Mailing address

100 UCLA Medical PLZ
Suite 730
Los Angeles, CA 90024-6970
Phone (310) 209-1440

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
I20171206002912 CA Practitioner - Dermatology 2769749324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Site Dermatology of California, PCGroup PAC ID 8426323858, 2 clinicians

Practice addresses (Care Compare)

3280 Washington St
Placerville, CA 95667-5838
Phone (877) 345-5300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions391
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75942CAMDPharmacist
A75942CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Dermatology of California PC Dermatology CurrentSince Oct 15, 2017 Accepting new patients

Locations

2150 W Kettleman Ln
Lodi, CA 95242
Phone (209) 333-8033

3280 Washington St
Placerville, CA 95667
Phone (530) 622-6842

3111 Camino del Rio N
Ste 400
San Diego, CA 92108
Phone (858) 244-5176

3680 N Moorpark Rd
Thousand Oaks, CA 91360
Phone (805) 496-9301

Organizations & group practices 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144345372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "SUITE 730",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246970",
            "telephone_number": "310-209-1440",
            "fax_number": "310-209-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "SUITE 730",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246970",
            "telephone_number": "310-209-1440",
            "fax_number": "310-209-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JOAN",
        "middle_name": "CHIA-CHIU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A75942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.