Active NPI
Daniel Wu, MD
- Psychiatry Physician
- West Hollywood, CA
National Provider Identifier
1306233101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A160413
- Practice address
- 8605 Santa Monica Blvd
PMB 871412
West Hollywood, CA 90069-4109 - Phone
- (502) 390-2772
- NPI assigned
- Apr 20, 2015
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A160413 | CA | Primary |
Addresses
Primary practice location
8605 Santa Monica Blvd
PMB 871412
West Hollywood, CA 90069-4109
Mailing address
8605 Santa Monica Blvd
PMB 871412
West Hollywood, CA 90069-4109
Phone (502) 390-2772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 18, 2024 through Jun 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A160413 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1306233101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD",
"address_2": "PMB 871412",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694109",
"telephone_number": "502-390-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD",
"address_2": "PMB 871412",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694109",
"telephone_number": "502-390-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A160413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.