Active NPI
Nancy Sheng-Shih Wu, M.D.
- Child & Adolescent Psychiatry Physician
- Santa Monica, CA
National Provider Identifier
1235272907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 73296
- Practice address
- 530 Wilshire Blvd Ste 310
Santa Monica, CA 90401-1426 - Phone
- (310) 935-0754
- Fax
- (310) 620-9539
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 73296 | CA | Primary |
Addresses
Primary practice location
530 Wilshire Blvd Ste 310
Santa Monica, CA 90401-1426
Mailing address
530 Wilshire Blvd Ste 310
Santa Monica, CA 90401-1426
Phone (310) 935-0754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 25, 2021 through Jan 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73296 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1235272907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 WILSHIRE BLVD STE 310",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011426",
"telephone_number": "310-935-0754",
"fax_number": "310-620-9539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 WILSHIRE BLVD STE 310",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011426",
"telephone_number": "310-935-0754",
"fax_number": "310-620-9539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "NANCY",
"middle_name": "SHENG-SHIH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "73296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.