Individual provider Active NPI

Fang Wu, M.D.

  • Hospitalist Physician
  • Chicago, IL
National Provider Identifier
1578841615
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A129348 Issued in CA
Practice address
1500 S California Ave.
Internal Medicine
Chicago, IL 60608
Phone
(778) 257-5077
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.060681 IL
Internal Medicine Physician 207R00000X A129348 CA
Hospitalist Physician 208M00000X 125.060681 IL
Hospitalist Physician 208M00000X A129348 CA Primary

Addresses

Primary practice location

1500 S California Ave.
Internal Medicine
Chicago, IL 60608

Mailing address

6421 Pershing Rd
Unit 404
Stickney, IL 60402-4181
Phone (708) 788-6268

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140723000745 CA Practitioner - HospitalistPractitioner - Internal Medicine 6507082831 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A129348CAMDInternal Medicine Physician
125.060681ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Palomar Hospitalist Medical Group, Inc Hospitalist CurrentSince Aug 1, 2021 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jul 1, 2014 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients

Locations (25 of 39)

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1817 Avenida del Diablo
Escondido, CA 92029
Phone (442) 277-0190

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

1260 E Ohio Ave
Escondido, CA 92027
Phone (760) 746-1100

1025 W 2nd Ave
Escondido, CA 92025
Phone (760) 745-1842

1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1715 S Cedar Ave
Fresno, CA 93702
Phone (559) 237-8377

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1007 W Lacey Blvd
Hanford, CA 93230
Phone (559) 582-2871

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

15632 Pomerado Rd
Poway, CA 92064
Phone (619) 224-4141

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1578841615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 PERSHING RD",
            "address_2": "UNIT 404",
            "city": "STICKNEY",
            "state": "IL",
            "postal_code": "604024181",
            "telephone_number": "708-788-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CALIFORNIA AVE.",
            "address_2": "INTERNAL MEDICINE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "778-257-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "FANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.060681",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A129348",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "125.060681",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A129348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.