NPIMap

Individual provider Active NPI

Samuel Wendong Wu, M.D.,PH.D.

  • Internal Medicine Physician
  • Gilroy, CA
National Provider Identifier
1659329993
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A740740 Issued in CA
Practice address
7880 Wren Ave Ste D143
Gilroy, CA 95020-7802
Phone
(408) 846-1800
Fax
(408) 846-1995
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A740740 CA Primary

Addresses

Primary practice location

7880 Wren Ave Ste D143
Gilroy, CA 95020-7802

Mailing address

7880 Wren Ave Ste D143
Gilroy, CA 95020-7802
Phone (408) 846-1800

Other names 1

  • Dr. Samuel Wendong Wu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071030000653 CA Practitioner - Internal Medicine 5496842965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

7880 Wren Ave
Suite D143
Gilroy, CA 95020-7802
Phone (408) 846-1800

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A740740CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Internal Medicine, Inc. Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Apr 1, 2024 Accepting new patients
County of Santa Clara Internal Medicine CurrentSince Jul 16, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jul 16, 2019 Accepting new patients
County of Santa Clara PastSince Jul 1, 2007 Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

7880 Wren Ave
Ste D143
Gilroy, CA 95020
Phone (408) 846-1800

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

Interoperability endpoints

  • Direct secure messaging: swu33421@icare.elcaminohospital.org
  • Direct secure messaging: swu42260@santaclaravalley.direct-ci.net

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1659329993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE STE D143",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207802",
            "telephone_number": "408-846-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE STE D143",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207802",
            "telephone_number": "408-846-1800",
            "fax_number": "408-846-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "SAMUEL",
        "middle_name": "WENDONG",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A740740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "WU",
            "middle_name": "WENDONG",
            "prefix": "DR.",
            "credential": "M.D.,PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.