Active NPI
Wenyuan Zhou
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1568917755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A187197
- Practice address
- 1530 S Olive St
Los Angeles, CA 90015-3023 - Phone
- (213) 747-5542
- Fax
- (213) 342-3413
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | A187197 | CA | Primary |
Addresses
Primary practice location
1530 S Olive St
Los Angeles, CA 90015-3023
Mailing address
111 E 210TH St
Bronx, NY 10467-2401
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 741-2426
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230901001673 | CA | Order and Referring Only - Pediatric Medicine | 9234592643 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A187197 | CA | MD | Pediatrics Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- wenyuan.zhou.1@28334.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1568917755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 S OLIVE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153023",
"telephone_number": "213-747-5542",
"fax_number": "213-342-3413"
}
],
"practiceLocations": [
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-741-2426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHOU",
"first_name": "WENYUAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A187197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.