Active NPI
Wei-Ji Xu M.D., Inc.
- Anesthesiology Physician
- San Dimas, CA
National Provider Identifier
1326056458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- WEI-JI XU M.D., INC.
- Practice address
- 1350 W Covina Blvd
San Dimas, CA 91773-3245 - Phone
- (909) 599-6811
- Fax
- (909) 394-3367
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wei Ji Xu, M.D.
- Title
- President
- Phone
- (626) 930-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | CA | Primary |
Addresses
Primary practice location
1350 W Covina Blvd
San Dimas, CA 91773-3245
Mailing address
PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 795-6596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A667370 | Medicaid | CA | |
| 00A667370 | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
11760 Central Ave
Chino, CA 91710
Phone (909) 902-5022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483056000000",
"number": "1326056458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60790",
"city": "PASADENA",
"state": "CA",
"postal_code": "911166790",
"telephone_number": "626-795-6596",
"fax_number": "626-795-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 W COVINA BLVD",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917733245",
"telephone_number": "909-599-6811",
"fax_number": "909-394-3367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEI-JI XU M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2016-12-30",
"status": "A",
"authorized_official_last_name": "XU",
"authorized_official_first_name": "WEI",
"authorized_official_middle_name": "JI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-930-2121",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A667370",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A667370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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- Alexandria Wehbe
- Emily Louise Wenzler-Chapman, O.D.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.