Active NPI
Anthony Wu
- Anesthesiology Physician
- Mission Viejo, CA
National Provider Identifier
1255472908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G47384
- Practice address
- 26921 Crown Valley Pkwy
Ste 110
Mission Viejo, CA 92691-6501 - Phone
- (714) 827-6700
- NPI assigned
- Feb 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G47384 | CA | Primary |
| Pain Medicine Physician | 208VP0000X | G47384 | CA |
Addresses
Primary practice location
26921 Crown Valley Pkwy
Ste 110
Mission Viejo, CA 92691-6501
Mailing address
PO Box 5280
Huntington Beach, CA 92615-5280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G473840 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47384 | CA | MD | General Practice Dentistry |
| G47384 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1255472908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5280",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926155280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26921 CROWN VALLEY PKWY",
"address_2": "STE 110",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916501",
"telephone_number": "714-827-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G47384",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "G47384",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G473840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.