Active NPI
Brian Wu MD PHD Inc
- Psychiatry Physician
- San Gabriel, CA
National Provider Identifier
1528639481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BRIAN WU MD PHD INC
- Practice address
- 201 Sycamore Dr
San Gabriel, CA 91775-2847 - Phone
- (323) 448-0298
- NPI assigned
- Jul 1, 2021
- 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
- Dr. Brian Wen-Long Wu, MD
- Title
- Psychiatrist
- Phone
- (323) 448-0298
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
201 Sycamore Dr
San Gabriel, CA 91775-2847
Mailing address
201 Sycamore Dr
San Gabriel, CA 91775-2847
Phone (323) 448-0298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A159332 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210727003585 | CA | Part B Supplier - Clinic/Group Practice | 0244633345 |
Receives reassigned benefits from 10 practitioners Practice locations: Los Angeles, CA |
National Provider Directory
National Provider DirectoryLocations
11835 W Olympic Blvd
Ste 1270E
Los Angeles, CA 90064
Phone (310) 273-4843
Practitioners & affiliated clinicians
Practitioners 110
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Culver City, CA
- NPI 1952946956
CA, Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Westminster, CA
- NPI 1326600289
CA, Single Specialty
-
- Clinical Neuropsychologist
- Los Angeles, CA
- NPI 1588545685
-
- Clinical Psychologist
- San Diego, CA
- NPI 1740733237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736467200000",
"number": "1528639481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SYCAMORE DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917752847",
"telephone_number": "323-448-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SYCAMORE DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917752847",
"telephone_number": "323-448-0298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN WU MD PHD INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-01",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "WEN-LONG",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "323-448-0298",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A159332",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.