Active NPI
Wu Lee Quock Medical Corporation
- Family Medicine Physician
- San Francisco, CA
National Provider Identifier
1609352665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WU LEE QUOCK MEDICAL CORPORATION
- Practice address
- 1044 Taraval St
San Francisco, CA 94116-2423 - Phone
- (415) 216-0088
- NPI assigned
- Jul 12, 2018
- Last updated
- Oct 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derrina Wu, MD
- Title
- Chief Executive Officer
- Phone
- (415) 216-0088
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CA | Primary | |
| Family Medicine Physician | 207Q00000X | NU |
Addresses
Primary practice location
1044 Taraval St
San Francisco, CA 94116-2423
Mailing address
1044 Taraval St
San Francisco, CA 94116-2423
Phone (415) 216-0088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
490 Post St
Ste 500
San Francisco, CA 94102
Phone (415) 421-2256
Practitioners & affiliated clinicians
Practitioners 8
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.
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- NPI 1588160550
-
- Hospitalist Physician
- Daly City, CA
- NPI 1427006733
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1316996465
-
- Internal Medicine Physician
- Belmont, CA
- NPI 1538200852
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164439675
-
- Internal Medicine Physician
- San Francisco, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538524800000",
"number": "1609352665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 TARAVAL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162423",
"telephone_number": "415-216-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 TARAVAL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162423",
"telephone_number": "415-216-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WU LEE QUOCK MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-12",
"last_updated": "2018-10-03",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "DERRINA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "415-216-0088",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.