Individual provider Active NPI

Derrina L Wu, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1659387892
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G80622 Issued in CA
Practice address
3580 California St
303
San Francisco, CA 94118-1725
Phone
(415) 563-8686
Fax
(415) 563-8910
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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 G80622 CA Primary

Addresses

Primary practice location

3580 California St
303
San Francisco, CA 94118-1725

Mailing address

1044 Taraval St
303
San Francisco, CA 94116-2423
Phone (415) 566-3808

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
I20120301000189 CA Practitioner - Internal Medicine 8325206899 Practice locations: San Francisco, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80622CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen K Lee Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: derrina.wu@5319578091524.direct.elationemr.com

Organizations & group practices 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1659387892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 TARAVAL ST",
            "address_2": "303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162423",
            "telephone_number": "415-566-3808",
            "fax_number": "415-566-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 CALIFORNIA ST",
            "address_2": "303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181725",
            "telephone_number": "415-563-8686",
            "fax_number": "415-563-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "DERRINA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.