Organization Active NPI

Michael Wu, M.D., Inc.

  • Psychiatry Physician
  • Brea, CA
National Provider Identifier
1235200825
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A81748 Issued in CA
Legal business name
MICHAEL WU, M.D., INC.
Practice address
3 Pointe Dr
Suite 305
Brea, CA 92821-3651
Phone
(714) 276-2930
Fax
(714) 256-9013
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Michael C. Wu, M.D.NPI 1679573885
Title
President
Phone
(714) 276-2930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A81748 CA Primary

Addresses

Primary practice location

3 Pointe Dr
Suite 305
Brea, CA 92821-3651

Mailing address

3 Pointe Dr
Suite 305
Brea, CA 92821-3651
Phone (714) 276-2930

Other identifiers 1

IdentifierTypeStateIssuer
391742OtherMGD HEALTH NTWK PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070118000294 CA Part B Supplier - Clinic/Group Practice 1951302900 Receives reassigned benefits from 1 practitioner
Practice locations: Brea, CA

National Provider Directory

National Provider Directory

Locations

3 Pointe Dr
Ste 305
Brea, CA 92821
Phone (714) 276-2930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1235200825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 POINTE DR",
            "address_2": "SUITE 305",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213651",
            "telephone_number": "714-276-2930",
            "fax_number": "714-256-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 POINTE DR",
            "address_2": "SUITE 305",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213651",
            "telephone_number": "714-276-2930",
            "fax_number": "714-256-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WU, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-276-2930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A81748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MGD HEALTH NTWK PIN",
            "identifier": "391742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.