Active NPI
Jerwin Wu, MD
- Internal Medicine Physician
- San Jose, CA
National Provider Identifier
1346238854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A38673
- Practice address
- 2101 Forest Ave
Suite 134
San Jose, CA 95128-1448 - Phone
- (408) 971-1122
- Fax
- (408) 971-3528
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | A38673 | CA | Primary |
Addresses
Primary practice location
2101 Forest Ave
Suite 134
San Jose, CA 95128-1448
Mailing address
2101 Forest Ave
Suite 134
San Jose, CA 95128-1448
Phone (408) 971-1122
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 |
|---|---|---|---|---|
| I20101014001123 | CA | Practitioner - Neurology | 7810180411 | Practice locations: San Jose, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38673 | CA | MD | Marriage & Family Therapist |
| A38673 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1346238854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 FOREST AVE",
"address_2": "SUITE 134",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281448",
"telephone_number": "408-971-1122",
"fax_number": "408-971-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 FOREST AVE",
"address_2": "SUITE 134",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281448",
"telephone_number": "408-971-1122",
"fax_number": "408-971-3528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "JERWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A38673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.