Wu Pediatrics Corp

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A101672 Issued in CA

Legal business name

WU PEDIATRICS CORP

Practice address

3801 Katella Ave
Suite 221
Los Alamitos, CA 90720-3338

Phone

(562) 431-6548

Fax

(714) 761-2086

NPI assigned

Jul 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Derek J Wu, MDNPI 1164616223

Title

Owner

Phone

(562) 431-6548

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• N/A Former legal business name

Tax ID family

Wu Pediatrics Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wu Pediatrics Corp

  • Pediatrics Physician
  • Temple City, CA
  • NPI 1831565670
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek J. Wu, M.D.

  • Pediatrics Physician
  • Temple City, CA
  • NPI 1164616223
  NPD (past) Authorized official
• Anthony Ritchie Chuang, M.D.

  • Pediatrics Physician
  • Irvine, CA
  • NPI 1134419443
  NPD (past)
• Ayla Munawar, D.O.

  • Pediatrics Physician
  • Los Alamitos, CA
  • NPI 1023379757
  NPD (past)
• Barry Samsamy, MD

  • Pediatric Adolescent Medicine Physician
  • Los Alamitos, CA
  • NPI 1447211917
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1376928077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 221",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-431-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 221",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-431-6548",
            "fax_number": "714-761-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WU PEDIATRICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-431-6548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A101672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023379757",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164616223",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Petra A Wong, MD
• Shelbie Wood, M.A., CCC-SLP
• Christopher Jon Woodson, M.D.
• Erin Wright, BSN, RN, CNOR, RNFA
• Lauren Wright
• Henry H Wu, M.D.
• Stephanie Wu
• Tanzhen J. Wu, M.D.
• Wu'S Anesthesia P a Services, Inc.
• Yamanaka and Ogata, OD, Inc.

• Pediatrics Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.