NPIMap

Organization Active NPI

Brian Wu MD PHD Inc

  • Psychiatry Physician
  • San Gabriel, CA
National Provider Identifier
1528639481
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Dr. Brian Wen-Long Wu, MDNPI 1033637236
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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, and the practitioner matching its NPPES authorized official.

View all 110

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": [],
    "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.

Verify at the official NPI Registry.