Jim Ying-Jian Wu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C51365 Issued in CA

Practice address

58457 29 Palms Hwy Ste 200
Yucca Valley, CA 92284-5879

Phone

(760) 228-1813

Fax

(760) 369-7331

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jim Ying-Jian Wu Former name

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lasalle Medical AssociatesGroup PAC ID 1557301744, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gracelight Home Health Home health agency, Victorville, CA, CCN 059597

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • Fontana, CA
  • NPI 1275661084
  Medicare reassignment Care Compare group NPD
• First Choice Physician Partners

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  Medicare reassignment NPD
• First Choice Physician Partners

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1558797118

  Internal Medicine

  NPD
• First Choice Physician Partners

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD
• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • San Bernardino, CA
  • NPI 1447388251
  NPD
• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • Rialto, CA
  • NPI 1881150290
  NPD
• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • Redlands, CA
  • NPI 1891892535
  NPD (past)
• Northbay Healthcare Group

  • Multi-Specialty Clinic/Center
  • Vacaville, CA
  • NPI 1760534713
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• United Nursing Personal Care, Inc

  • Home Health Agency
  • Victorville, CA
  • NPI 1841591062
  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1285605014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58457 29 PALMS HWY STE 200",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845879",
            "telephone_number": "760-228-1813",
            "fax_number": "760-369-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58457 29 PALMS HWY STE 200",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845879",
            "telephone_number": "760-228-1813",
            "fax_number": "760-369-7331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Valley Blvd",
            "address_2": "STE 208",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918032300",
            "country_code": "US",
            "telephone_number": "626-872-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "JIM",
        "middle_name": "YING-JIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-15596",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM YING-JIAN",
            "last_name": "WU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Naomi Wiggins, DNP, FNP
• Diane Elizabeth Williams, AU. D.
• Womens and Childrens Healthcare Associates
• Justin Wortman
• Alfreda Wright
• Mary Yantes
• Yoonho Chang DDS Inc.
• Lynna R. Young, FNP-C
• Marilyn Yu, MD
• Yucca Desert Counseling Licensed Clinical Social Worker P.C.

• Internal Medicine Physician in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.