Active NPI
Jack C Wu, M.D.
- Internal Medicine Physician
- Long Beach, CA
National Provider Identifier
1326089079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A70880
- Practice address
- 3845 Atlantic Ave
Long Beach, CA 90807-3505 - Phone
- (562) 595-9206
- Fax
- (562) 595-9209
- NPI assigned
- Jun 10, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A70880 | CA | Primary |
Addresses
Primary practice location
3845 Atlantic Ave
Long Beach, CA 90807-3505
Mailing address
3845 Atlantic Ave
Long Beach, CA 90807-3505
Phone (562) 595-9206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A708800 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070309000349 | CA | Practitioner - Internal Medicine | 7012010192 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3845 Atlantic Ave
Long Beach, CA 90807-3505
Phone (562) 595-9206
Hospital & facility affiliations
- Long Beach Health Care
- Holy Angel Home Health Care, Inc
- Memorialcare Long Beach Medical Center
- College Medical Center
- St Mary Medical Center
- Atlantic Memorial Healthcare Center
- Villa Serena Healthcare Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A70880 | CA | MD | Internal Medicine Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Wu Medical Care Inc | Internal Medicine | Current | Accepting new patients |
Locations
3845 Atlantic Ave
Long Beach, CA 90807
Phone (562) 595-9206
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1356386247
CA, Internal Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1811997570
Nursing home
-
- Home Health Agency
- Los Angeles, CA
- NPI 1033117734
-
- Home Health Agency
- Long Beach, CA
- NPI 1730145491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1326089079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3845 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073505",
"telephone_number": "562-595-9206",
"fax_number": "562-595-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073505",
"telephone_number": "562-595-9206",
"fax_number": "562-595-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "JACK",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A70880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A708800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.