Individual provider Active NPI

Jerry Yourui Wu, L.AC.

  • Acupuncturist
  • Palo Alto, CA
National Provider Identifier
1639222482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6423 Issued in CA
Practice address
809 San Antonio Rd Ste 10
Palo Alto, CA 94303-4626
Phone
(650) 320-9538
Fax
(650) 320-8230
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6423 CA Primary

Addresses

Primary practice location

809 San Antonio Rd Ste 10
Palo Alto, CA 94303-4626

Mailing address

809 San Antonio Rd Ste 10
Palo Alto, CA 94303-4626
Phone (650) 320-9538

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
AC6423CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ming Acupuncture and Herb Center,P.C. Past Accepting new patients
Da Ming Acupuncture and Herb Center, PC Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639222482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SAN ANTONIO RD STE 10",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034626",
            "telephone_number": "650-320-9538",
            "fax_number": "650-320-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SAN ANTONIO RD STE 10",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034626",
            "telephone_number": "650-320-9538",
            "fax_number": "650-320-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JERRY",
        "middle_name": "YOURUI",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.