Individual provider Active NPI

Annie Wu, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
National Provider Identifier
1699031252
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A123849 Issued in CA
Practice address
10833 Le Conte Ave
13-145G CHS
Los Angeles, CA 90095
Phone
(310) 825-5719
NPI assigned
Apr 9, 2012
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A123849 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
13-145G CHS
Los Angeles, CA 90095

Mailing address

UCLA Med Ctr, Dept of Pathology and Laboratory Medicine
Box 951732
Los Angeles, CA 90095-1732

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
I20170724003551 CA Practitioner - Pathology 2860762820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.58 of 100Reported as group
Quality
59.16
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123849CAMDMarriage & Family Therapist
A123849CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Jul 15, 2017 Accepting new patients
County of Los Angeles CurrentSince Jul 15, 2017 Accepting new patients
Associated Pathology Medical Group, Inc CurrentSince Sep 19, 2022 Accepting new patients
County of Los Angeles Current Accepting new patients
Associated Pathology Medical Group, Inc Anatomic Pathology & Clinical Pathology CurrentSince Sep 19, 2022 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
UCLA Pathology Residency Program Past Accepting new patients
University of California, Los Angeles Past Accepting new patients

Locations

105A Cooper Ct
Los Gatos, CA 95032
Phone (408) 884-2710

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Organizations & group practices 8

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1699031252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCLA MED CTR, DEPT OF PATHOLOGY AND LABORATORY MEDICINE",
            "address_2": "BOX 951732",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "13-145G CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-825-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "ANNIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A123849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.