Individual provider Active NPI

Yi-PO Anthony Wu, M.D.

  • Internal Medicine Physician
  • Stockton, CA
National Provider Identifier
1427056209
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A40605 Issued in CA
Practice address
645 W Harding Way
Suite 15
Stockton, CA 95204-5688
Phone
(209) 464-4800
Fax
(209) 464-1289
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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 A40605 CA Primary

Addresses

Primary practice location

645 W Harding Way
Suite 15
Stockton, CA 95204-5688

Mailing address

645 W Harding Way
Suite 15
Stockton, CA 95204-5688
Phone (209) 464-4800

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

LicenseStateTypeSpecialty
40605CAMDDentist
A40605CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1427056209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W HARDING WAY",
            "address_2": "SUITE 15",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045688",
            "telephone_number": "209-464-4800",
            "fax_number": "209-464-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W HARDING WAY",
            "address_2": "SUITE 15",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045688",
            "telephone_number": "209-464-4800",
            "fax_number": "209-464-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "YI-PO",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A40605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.