Active NPI
Tina Wu, M.D., M.B.A.
- Emergency Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 266395
- Practice address
- 11301 Wilshire Blvd
Los Angeles, CA 90073-1003 - Phone
- (212) 263-5506
- NPI assigned
- Apr 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 266395 | NY | Primary |
| General Practice Physician | 208D00000X | 188846 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Mailing address
4210 Via Marina Apt 442
Marina del Rey, CA 90292-7545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2140
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188846 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group of California, P.C. | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Emergency Medicine | Current | Accepting new patients |
| New York University | Emergency Medicine | Current | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
900 Northcrest Dr
Crescent City, CA 95531
Phone (505) 537-5350
14500 Roscoe Blvd
Fl 4
Panorama City, CA 91402
Phone (818) 714-2022
100 Pine St
Ste 500
San Francisco, CA 94111
Phone (760) 347-9651
801 US Highway 1
North Palm Beach, FL 33408
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
300 Community Dr
Plandome, NY 11030
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- tinawu@nslijmedgr.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Emergency Medicine, NY
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1356667117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 VIA MARINA APT 442",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "212-263-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "TINA",
"name_prefix": "Dr.",
"credential": "M.D., M.B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "266395",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "188846",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.