Active NPI
Chengcong Wu, M.D.
- Internal Medicine Physician
- Diamond Bar, CA
National Provider Identifier
1407810666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A88193
- Practice address
- 1476 Winterwood LN
Diamond Bar, CA 91765-2649 - Phone
- (909) 612-1191
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 | A88193 | CA | Primary |
Addresses
Primary practice location
1476 Winterwood LN
Diamond Bar, CA 91765-2649
Mailing address
1476 Winterwood LN
Diamond Bar, CA 91765-2649
Phone (909) 612-1191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A88193 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Services Group | Past | Accepting new patients | |
| Chase Dennis Emergency Medical Group Inc | Past | Accepting new patients | |
| Western Sierra Emergency Physicians Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1407810666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1476 WINTERWOOD LN",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917652649",
"telephone_number": "909-612-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1476 WINTERWOOD LN",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917652649",
"telephone_number": "909-612-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "CHENGCONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A88193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.