Individual provider Active NPI

Jerwin Wu, MD

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1346238854
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A38673 Issued in CA
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

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
38673CAMDMarriage & Family Therapist
A38673CAMDInternal 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

Verify at the official NPI Registry.