Individual provider Active NPI

Peter C Wu, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1326143322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G72283 Issued in CA
Practice address
1740 Fruitridge Road
Sacramento, CA 95822
Phone
(916) 391-7200
Fax
(916) 391-7772
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G72283 CA Primary

Addresses

Primary practice location

1740 Fruitridge Road
Sacramento, CA 95822

Mailing address

1740 Fruitridge Road
Sacramento, CA 95822
Phone (916) 391-7200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000589 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 7315005931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wu and Pan Medical AssociatesGroup PAC ID 0446299515, 2 clinicians

Practice addresses (Care Compare)

7248 S Land Park Dr
Suite 118
Sacramento, CA 95831-3661
Phone (916) 678-6760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G72283CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wu and Pan Medical Associates CurrentSince Sep 1, 1998 Accepting new patients
Ahs Hospital Corp. Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1740 Fruitridge Rd
Sacramento, CA 95822
Phone (916) 391-7200

7248 S Land Park Dr
Ste 118
Sacramento, CA 95831
Phone (916) 391-7200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326143322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 FRUITRIDGE ROAD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95822",
            "telephone_number": "916-391-7200",
            "fax_number": "916-391-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 FRUITRIDGE ROAD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95822",
            "telephone_number": "916-391-7200",
            "fax_number": "916-391-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "PETER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.