Individual provider Active NPI

Jeffrey Kai Wu, M.D.

  • Radiation Oncology Physician
  • San Luis Obispo, CA
National Provider Identifier
1336331289
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A106273 Issued in CA
Practice address
100 Casa St Ste C
San Luis Obispo, CA 93405-8804
Phone
(805) 541-1932
Fax
(805) 541-1653
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A106273 CA Primary

Addresses

Primary practice location

100 Casa St Ste C
San Luis Obispo, CA 93405-8804

Mailing address

1325 E Church St
Suite 101
Santa Maria, CA 93454-5909
Phone (805) 925-2529

Other practice location 1

1325 E Church St
Suite 101
Santa Maria, CA 93454-5909
Phone (805) 925-2529

Other identifiers 1

IdentifierTypeStateIssuer
1336331289MedicaidCA

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
I20120813000552 CA Practitioner - Radiation Oncology 8426204132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, Geffen School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

100 Casa St
Suite C
San Luis Obispo, CA 93405-8804
Phone (805) 541-1932

100 Casa St C
San Luis Obispo, CA 93405-8804
Phone (805) 541-1932

10263 Winecreek CT
San Diego, CA 92127-3728
Phone (952) 595-1100

1069 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 758-2724

1551 Bishop St
Suite 110
San Luis Obispo, CA 93401-4692
Phone (415) 600-1010

274 Heather CT
Suite a
Templeton, CA 93465-9738
Phone (805) 434-1859

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106273CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2024 Accepting new patients
Coastal Radiation Oncology Medical Group, Inc. Radiation Oncology CurrentSince Aug 1, 2012 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2024 Accepting new patients
Coastal Radiation Oncology Medical Group, Inc. Radiation Oncology Past Accepting new patients
Sansum Clinic Past Accepting new patients
Dignity Community Care Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Lompoc Valley Medical Center Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

1213 E Ocean Ave
Ste 100
Lompoc, CA 93436
Phone (805) 736-8628

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

1325 E Church St
Ste 101
Santa Maria, CA 93454
Phone (805) 648-5191

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585

100 Casa St
Ste C
Sn Luis Obisp, CA 93405
Phone (805) 541-1932

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

274 Heather Ct
#A
Templeton, CA 93465
Phone (805) 434-1859

274 Heather Ct
Templeton, CA 93465
Phone (805) 434-1859

2900 Loma Vista Rd
Ste 100
Ventura, CA 93003
Phone (805) 648-5191

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1336331289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST",
            "address_2": "SUITE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545909",
            "telephone_number": "805-925-2529",
            "fax_number": "805-928-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CASA ST STE C",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934058804",
            "telephone_number": "805-541-1932",
            "fax_number": "805-541-1653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 E Church St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545909",
            "country_code": "US",
            "telephone_number": "805-925-2529",
            "fax_number": "805-928-4478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "JEFFREY",
        "middle_name": "KAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A106273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336331289",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.