Active NPI
George Wu, DDS
- Prosthodontics
- West Covina, CA
National Provider Identifier
1235383183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 10460
- Practice address
- 1050 Lakes Dr Ste 100
West Covina, CA 91790-2929 - Phone
- (626) 598-1012
- Fax
- (626) 598-1013
- NPI assigned
- Nov 5, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 10460 | MA | Primary |
Addresses
Primary practice location
1050 Lakes Dr Ste 100
West Covina, CA 91790-2929
Mailing address
1050 Lakes Dr Ste 100
West Covina, CA 91790-2929
Phone (626) 598-1012
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160226000584 | CA | Order and Referring Only - Dentist | 4789989807 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10460 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1235383183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 LAKES DR STE 100",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902929",
"telephone_number": "626-598-1012",
"fax_number": "626-598-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 LAKES DR STE 100",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902929",
"telephone_number": "626-598-1012",
"fax_number": "626-598-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "GEORGE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-05",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "10460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.