Individual provider Active NPI

Isabella Tianwen Wu, MD/MPH

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Diego, CA
National Provider Identifier
1457915662
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A182631 Issued in CA
Practice address
9333 Genesee Ave Ste 350a
San Diego, CA 92121-2111
Phone
(858) 455-6460
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A182631 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A182631 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X MT235024 PA

Addresses

Primary practice location

9333 Genesee Ave Ste 350a
San Diego, CA 92121-2111

Mailing address

9333 Genesee Ave Ste 350a
San Diego, CA 92121-2111

Other practice location 1

480 4th Ave Ste 501
Chula Vista, CA 91910-4414
Phone (858) 455-6460

Other practice location 2

833 Chestnut St
Philadelphia, PA 19107-4414
Phone (267) 297-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250710002540 PA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 5092229906

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT235024PAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Girard Orthopaedic Surgeons Medical Group,. Inc Orthopaedic Surgery Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1457915662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 350A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 350A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212111",
            "telephone_number": "858-455-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 4th Ave Ste 501",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919104414",
            "country_code": "US",
            "telephone_number": "858-455-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074414",
            "country_code": "US",
            "telephone_number": "267-297-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "ISABELLA",
        "middle_name": "TIANWEN",
        "credential": "MD/MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A182631",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A182631",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT235024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.