Stacey Wu

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95009042 Issued in CA

Practice address

5817 Temple City Blvd
Temple City, CA 91780-2113

Phone

(626) 282-1254

Fax

(626) 292-1549

NPI assigned

May 21, 2018

Last updated

May 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wu Pediatrics Corp

  • Pediatrics Physician
  • Temple City, CA
  • NPI 1831565670
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1336630953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 TEMPLE CITY BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802113",
            "telephone_number": "626-282-1254",
            "fax_number": "626-292-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5817 TEMPLE CITY BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802113",
            "telephone_number": "626-282-1254",
            "fax_number": "626-292-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95009042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wu Pediatrics Corp
• Chia Chen Wu
• Derek J. Wu, M.D.
• Elvie Wu
• Lihjiuan Wu, LAC
• Yuehui Xia, LAC
• Teng Jiao Xu, A.C.
• Anna C Yan, ACUPUNCTURIST
• Guang Yang, DMD
• Hannah Kim Yang

• Pediatric Nurse Practitioner in Temple City, CA
• Providers in Temple City, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.