NPIMap

Individual provider Active NPI

Pei-CHI Wu, D.O.

  • Family Medicine Physician
  • Diamond Bar, CA
National Provider Identifier
1669706453
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10934 Issued in CA
Practice address
2020 S Brea Canyon Rd Ste A1
Diamond Bar, CA 91765-4012
Phone
(909) 861-6853
Fax
(909) 963-1796
NPI assigned
Sep 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A10934 CA Primary

Addresses

Primary practice location

2020 S Brea Canyon Rd Ste A1
Diamond Bar, CA 91765-4012

Mailing address

2020 S Brea Canyon Rd Ste A1
Diamond Bar, CA 91765-4012
Phone (909) 861-6853

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
I20111219000126 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8729253828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Western University of Health Sciences College of Dental Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2020 S Brea Canyon Rd
A1
Diamond Bar, CA 91765-4012
Phone (909) 861-6853

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10934CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pei-CHI Wu DO a Professional Medical Corporation CurrentSince Sep 19, 2015 Accepting new patients
Herald Christian Health Center Family Medicine Past Accepting new patients
University of California Irvine Past Accepting new patients
Calm Care, Inc Family Medicine PastSince Jul 1, 2019 Accepting new patients

Locations

2020 S Brea Canyon Rd
Ste A1
Diamond Bar, CA 91765
Phone (909) 861-6853

2020 S Brea Canyon Rd
#A1
Diamond Bar, CA 91765
Phone (909) 861-6853

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFJBA
  • Direct secure messaging: peichi.wu@hchcla.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Quality Hospice Care IncorporationDiamond Bar, CA, CCN 921757 Hospice Contracted Managing Employee (25%)
Corporate Officer (25%)
Corporate Director (25%)		 Jul 1, 2019
Jul 1, 2019
Jul 1, 2019
Calm Care, Inc.Buena Park, CA, CCN 551772 Hospice Contracted Managing Employee
Corporate Director		 Jul 1, 2019
Jul 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 3

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": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1669706453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S BREA CANYON RD STE A1",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654012",
            "telephone_number": "909-861-6853",
            "fax_number": "909-963-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S BREA CANYON RD STE A1",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654012",
            "telephone_number": "909-861-6853",
            "fax_number": "909-963-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "PEI-CHI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.