Active NPI
Pelen Tammy Wu, MD
- Pediatrics Physician
- Orinda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A75735
- Practice address
- 3 Altarinda Rd Ste 300
Orinda, CA 94563-2601 - Phone
- (925) 254-9500
- Fax
- (925) 254-9505
- NPI assigned
- Sep 7, 2006
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A75735 | CA | Primary |
Addresses
Primary practice location
3 Altarinda Rd Ste 300
Orinda, CA 94563-2601
Mailing address
3 Altarinda Rd Ste 300
Orinda, CA 94563-2601
Phone (925) 254-9500
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 |
|---|---|---|---|
| A75735 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients | |
| Children's Hospital & Research Center at Oakland | Past | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
3 Altarinda Rd
Ste 300
Orinda, CA 94563
Phone (925) 254-9500
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597
Interoperability endpoints
- pwu12476@ehr.johnmuirhealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
dba Merritt Peralta Insititute
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
dba UCSF Benioff Children's Hospital Oakland
- General Acute Care Hospital
- Oakland, CA
- NPI 1003961251
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
dba SHC Reference Laboratory
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194828707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ALTARINDA RD STE 300",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632601",
"telephone_number": "925-254-9500",
"fax_number": "925-254-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ALTARINDA RD STE 300",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632601",
"telephone_number": "925-254-9500",
"fax_number": "925-254-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "PELEN",
"middle_name": "TAMMY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A75735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orinda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.