Individual provider Active NPI

Hong Wu, M.D.

  • Internal Medicine Physician
  • Berkeley, CA
National Provider Identifier
1386653657
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A92464 Issued in CA
Practice address
1510 4TH St
Suite1
Berkeley, CA 94710-1717
Phone
(510) 525-8980
Fax
(510) 525-8982
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 A92464 CA Primary

Addresses

Primary practice location

1510 4TH St
Suite1
Berkeley, CA 94710-1717

Mailing address

1288 E Hillsdale Blvd
Apt A203
Foster City, CA 94404-1261
Phone (650) 533-7853

Other identifiers 1

IdentifierTypeStateIssuer
00A924640MedicaidCA

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
I20150710002425 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9830193887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92464CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: hwu323934@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1386653657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 E HILLSDALE BLVD",
            "address_2": "APT A203",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041261",
            "telephone_number": "650-533-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 4TH ST",
            "address_2": "SUITE1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101717",
            "telephone_number": "510-525-8980",
            "fax_number": "510-525-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "HONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A924640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.