Individual provider Active NPI

Chang-I Wu

  • Public Health & General Preventive Medicine Physician
  • Arlington, VA
National Provider Identifier
1629546379
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
261717 Issued in NY
Practice address
1530 Clarendon Blvd Apt 700
Arlington, VA 22209-4315
Phone
(585) 329-3397
NPI assigned
Nov 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Informatics Physician 2083C0008X 261717 NY
Public Health & General Preventive Medicine Physician 2083P0901X 261717 NY Primary

Addresses

Primary practice location

1530 Clarendon Blvd Apt 700
Arlington, VA 22209-4315

Mailing address

1530 Clarendon Blvd Apt 700
Arlington, VA 22209-4315

Other practice location 1

5951 Greenwood Cmn
Livermore, CA 94550-4798
Phone (585) 329-3397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
261717NYMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1629546379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CLARENDON BLVD APT 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222094315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CLARENDON BLVD APT 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222094315",
            "telephone_number": "585-329-3397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5951 Greenwood Cmn",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945504798",
            "country_code": "US",
            "telephone_number": "585-329-3397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "CHANG-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "NY",
            "license": "261717",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "261717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.