Individual provider Active NPI

Kenny Ka-Shing Wu, M.D.

  • Emergency Medicine Physician
  • Loma Linda, CA
National Provider Identifier
1336408707
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A127627 Issued in CA
Practice address
11234 Anderson St
Gme Office CSP 21005
Loma Linda, CA 92354-2804
Phone
(909) 558-4085
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A127627 CA Primary

Addresses

Primary practice location

11234 Anderson St
Gme Office CSP 21005
Loma Linda, CA 92354-2804

Mailing address

9105 Ardendale Ave
San Gabriel, CA 91775-2003
Phone (626) 382-9375

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20150522000612 CA Practitioner - Emergency Medicine 4789904319 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andy Shen MD IncGroup PAC ID 8527164482, 22 clinicians
Glendale Adventist Emergency Physicians IncorporatedGroup PAC ID 1254563869, 26 clinicians
Emergency Physicians of San Gabriel ValleyGroup PAC ID 4082023726, 21 clinicians
Priority Urgent CareGroup PAC ID 7911287909, 15 clinicians

Practice addresses (Care Compare)

100 S Raymond Ave
Alhambra, CA 91801-3166
Phone (626) 570-1606

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 863-4000

438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Phone (626) 289-5454

4821 Panama LN
Suite a C
Bakersfield, CA 93313-3480
Phone (661) 587-4777

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Alhambra Hospital Medical Center Hospital, Alhambra, CA, CCN 050281
  • San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132

Merit-based Incentive Payment System (MIPS)

Final score
94.08 of 100Reported as group
Quality
72.14
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A127627CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 6, 2023 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Emergency Physicians of San Gabriel Valley Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 6, 2023 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Andy Shen, M.D., Inc. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Golden West Emergency Medical Associates, Inc Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Priority Urgent Care Emergency Medicine Current Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 28, 2023 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 28, 2023 Accepting new patients
Glendale Adventist Emergency Physicians Incorporated Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

100 S Raymond Ave
Alhambra, CA 91801
Phone (626) 457-7938

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

4821 Panama Ln
Ste Ac
Bakersfield, CA 93313
Phone (661) 556-4777

751 Medical Center Ct
#1182
Chula Vista, CA 91911

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

393 E Walnut St
#5
Pasadena, CA 91188

438 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 289-5454

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Organizations & group practices 16

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.

View all 16

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1336408707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 ARDENDALE AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752003",
            "telephone_number": "626-382-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "GME OFFICE CSP 21005",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "KENNY",
        "middle_name": "KA-SHING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2023-02-03",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A127627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.