Individual provider Active NPI

Bob Wu, M.D.

  • Surgery Physician
  • Alhambra, CA
National Provider Identifier
1205030707
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A101512 Issued in CA
Practice address
328 S 1St St
Suite F and G
Alhambra, CA 91801-3789
Phone
(626) 457-6333
Fax
(626) 457-1933
NPI assigned
Jun 11, 2007
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 235384 NY
Surgery Physician 208600000X A101512 CA Primary

Addresses

Primary practice location

328 S 1St St
Suite F and G
Alhambra, CA 91801-3789

Mailing address

328 S 1St St
Suite F and G
Alhambra, CA 91801-3789
Phone (626) 457-6333

Other identifiers 1

IdentifierTypeStateIssuer
0A1015120OtherCABLUE SHIELD PROVIDER NUMBER

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
I20081118000134 CA Practitioner - General Surgery 9638239890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loma Linda University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Surgeons Medical Group IncGroup PAC ID 6608779160, 9 clinicians

Practice addresses (Care Compare)

18575 Gale Ave
City of Industry, CA 91748-1383
Phone (626) 457-6333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101512CAMDClinical Social Worker
235384NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Surgeons Medical Group Inc Surgery CurrentSince Sep 5, 2012 Accepting new patients
David C P Chen, M.D., Inc Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Usc Surgeons, Inc. Surgery Past Accepting new patients

Locations

328 S 1st St
Ste Fg
Alhambra, CA 91801
Phone (626) 457-6333

101 Wheeler Ave
Ste C
Arcadia, CA 91006
Phone (626) 457-1933

18575 Gale Ave
Ste 295
City of Industry, CA 91748
Phone (626) 369-9663

18605 Gale Ave
Ste 180
City of Industry, CA 91748
Phone (626) 284-1997

120 W Hellman Ave
Ste 203
Monterey Park, CA 91754
Phone (626) 457-6333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1205030707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S 1ST ST",
            "address_2": "SUITE F AND G",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013789",
            "telephone_number": "626-457-6333",
            "fax_number": "626-457-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S 1ST ST",
            "address_2": "SUITE F AND G",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013789",
            "telephone_number": "626-457-6333",
            "fax_number": "626-457-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "BOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "235384",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A101512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMBER",
            "identifier": "0A1015120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.