Organization Active NPI

Ronald S.Wu, MD Apc

  • Obstetrics & Gynecology Physician
  • Glendale, CA
National Provider Identifier
1689746885
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G16648 Issued in CA
Legal business name
RONALD S.WU, MD APC
Practice address
1505 Wilson Ter
Ste 220
Glendale, CA 91206-4071
Phone
(818) 244-3572
Fax
(818) 244-8317
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Ronald S. Wu, MD
Title
Owner
Phone
(818) 244-3572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G16648 CA Primary

Addresses

Primary practice location

1505 Wilson Ter
Ste 220
Glendale, CA 91206-4071

Mailing address

PO Box 9779
Glendale, CA 91226-0779
Phone (818) 244-3572

Other identifiers 1

IdentifierTypeStateIssuer
00G166480MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1689746885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9779",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912260779",
            "telephone_number": "818-244-3572",
            "fax_number": "818-244-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER",
            "address_2": "STE 220",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064071",
            "telephone_number": "818-244-3572",
            "fax_number": "818-244-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD S.WU, MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-244-3572",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G16648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G166480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.