Tina Wu, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A91185 Issued in CA

Practice address

1812 11TH St
Manhattan Beach, CA 90266-6212

Phone

(917) 674-1904

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

93.64 of 100Reported as group

Quality

80.76

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tarzana Emergency Medical Associates

  • Emergency Medicine Physician
  • Tarzana, CA
  • NPI 1235176702
  Medicare reassignment NPD
• Tina W MD Inc a Professional Medical Corporation

  • Emergency Medicine Physician
  • Manhattan Beach, CA
  • NPI 1225747421
  NPD Authorized official
• Telemedicine365 Inc

  • Emergency Medicine Physician
  • El Segundo, CA
  • NPI 1912525817
  NPD
• Centinela Freeman Emergency Medical Associates

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1962539684
  NPD (past)
• Pacifica Emergency Medical Associates

  • Emergency Medicine Physician
  • Encino, CA
  • NPI 1053350975
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1568663136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 15TH ST UNIT 3142",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667311",
            "telephone_number": "176-741-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 11TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666212",
            "telephone_number": "917-674-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A91185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A643450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Erica Wood, LMFT, ATR-BC
• Heather G Wood, D.D.S.
• Kristin Woolley, M.D.
• Andrea W Wu, MD
• Monica S. Wu, PH.D.
• Kelly Grace Wynkoop, DC
• Anthony Rikio Yamada, DDS
• Shari Yamada, PHARM. D.
• Austyn Lynn Yarbrough, DC
• Justin Yaros, LMFT

• Emergency Medicine Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.