Kong-Tay Wu, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A30553 Issued in CA

Practice address

1818 N Orange Grove Ave
#200
Pomona, CA 91767

Phone

(909) 622-6433

Fax

(909) 469-2524

NPI assigned

Jan 20, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kong-Tay Wu, M.D, Inc

  • Pediatrics Physician
  • Ontario, CA
  • NPI 1114231222
  Authorized official Same address or phone
• Wu Kong-Tay MD Inc

  • Pediatrics Physician
  • Pomona, CA
  • NPI 1790989267
  Authorized official Same address or phone

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538149919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE AVE",
            "address_2": "#200",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-622-6433",
            "fax_number": "909-469-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE AVE",
            "address_2": "#200",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-622-6433",
            "fax_number": "909-469-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "KONG-TAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A30553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A305530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wu Kong-Tay MD Inc
• Anne Wu
• James Wu, PH.D. L.AC.
• James J Wu, M.D.
• Jiaqian Wu
• Ming-Wei Daniel Wu, D.O.
• Nancy Wu, M.D.
• Ray Wu
• Wen-Ann Annita Wu
• Roxann Esther Wuest

• Pediatrics Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.