Active NPI
Dianne E Wu M D S C a Professional
- Plastic Surgery Physician
- Alhambra, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G79383
- Legal business name
- DIANNE E WU M D S C A PROFESSIONAL
- Practice address
- 1048 S Garfield Ave
#300
Alhambra, CA 91801-4768 - Phone
- (626) 458-7564
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dianne E Wu, M.D.
- Title
- President
- Phone
- (626) 458-7564
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G79383 | CA | Primary |
Addresses
Primary practice location
1048 S Garfield Ave
#300
Alhambra, CA 91801-4768
Mailing address
1048 S Garfield Ave
#300
Alhambra, CA 91801-4768
Phone (626) 458-7564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W21355 | Other | CA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
1048 S Garfield Ave
Ste 300
Alhambra, CA 91801
Phone (626) 289-1009
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Alhambra, CA
- NPI 1770502718
-
- Obstetrics & Gynecology Physician
- Alhambra, CA
- NPI 1255350138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200614400000",
"number": "1417078387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 S GARFIELD AVE",
"address_2": "#300",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014768",
"telephone_number": "626-458-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1048 S GARFIELD AVE",
"address_2": "#300",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014768",
"telephone_number": "626-458-7564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANNE E WU M D S C A PROFESSIONAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2008-01-18",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "DIANNE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-458-7564",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G79383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W21355",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.