Active NPI
Wayne Wu
- Pharmacist
- Santa Monica, CA
National Provider Identifier
1265991657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69586
- Practice address
- 1223 16TH St RM 1202
Santa Monica, CA 90404-1217 - Phone
- (424) 259-8520
- NPI assigned
- Mar 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69586 | CA | Primary |
Addresses
Primary practice location
1223 16TH St RM 1202
Santa Monica, CA 90404-1217
Mailing address
21143 Hawthorne Blvd Ste 242
Torrance, CA 90503-4615
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wdwu@mednet.ucla.edu |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69586 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of California | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Santa Monica, CA
- NPI 1396010609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1265991657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21143 HAWTHORNE BLVD STE 242",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 16TH ST RM 1202",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041217",
"telephone_number": "424-259-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "WAYNE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69586",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wdwu@mednet.ucla.edu",
"affiliation": "N",
"endpointDescription": "UCLA Email",
"address_1": "1223 16th St Rm 1202",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904041217",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.