Individual provider Active NPI

Michael C. Wu, M.D.

  • Psychiatry Physician
  • Brea, CA
National Provider Identifier
1679573885
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A81748 Issued in CA
Practice address
3 Pointe Dr
Suite 305
Brea, CA 92821-3651
Phone
(714) 276-2930
Fax
(714) 256-9013
NPI assigned
Jul 29, 2005
Last updated
Feb 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A81748 CA Primary

Addresses

Primary practice location

3 Pointe Dr
Suite 305
Brea, CA 92821-3651

Mailing address

3 Pointe Dr
Suite 305
Brea, CA 92821-3651
Phone (714) 276-2930

Other identifiers 7

IdentifierTypeStateIssuer
365137OtherMANAGED HEALTH NETWORK
00A817480MedicaidCA
00A817480OtherCABLUE SHIELD OF CALIFORNIA
548947OtherVALUE OPTIONS
2244951OtherCIGNA BEHAVIORAL HEALTH
2124635OtherCCN/FIRST HEALTH
815601000OtherMAGELLAN

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
I20040116000426 CA Practitioner - Psychiatry 5294636890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Pointe Dr
Suite 305
Brea, CA 92821-7623

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81748CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Wu, M.D., Inc. Psychiatry CurrentSince Nov 27, 2006 Accepting new patients

Locations

3 Pointe Dr
Ste 305
Brea, CA 92821
Phone (562) 551-8245

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1679573885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 POINTE DR",
            "address_2": "SUITE 305",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213651",
            "telephone_number": "714-276-2930",
            "fax_number": "714-256-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 POINTE DR",
            "address_2": "SUITE 305",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213651",
            "telephone_number": "714-276-2930",
            "fax_number": "714-256-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A81748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "365137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A817480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00A817480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "548947",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2244951",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN/FIRST HEALTH",
            "identifier": "2124635",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "815601000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.