NPIMap

Individual provider Active NPI

Vanessa Yu-Wen Wu, M.D.

  • Family Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1699138511
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A152955 Issued in CA
Practice address
1640 Newport Blvd Ste 300
Costa Mesa, CA 92627-7725
Phone
(949) 386-5101
Fax
(833) 623-5063
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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 A152955 CA Primary

Addresses

Primary practice location

1640 Newport Blvd Ste 300
Costa Mesa, CA 92627-7725

Mailing address

1640 Newport Blvd Ste 300
Costa Mesa, CA 92627-7725
Phone (949) 386-5101

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
I20190620001209 CA Practitioner - Family Practice 9638426562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 5597663641, 61 clinicians
University of California IrvineGroup PAC ID 5395658181, 57 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

800 N Main St
Santa Ana, CA 92701-3576
Phone (714) 456-6324

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A152955CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine CurrentSince Aug 1, 2020 Accepting new patients
Regents of the University of Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
University of California Irvine CurrentSince Aug 1, 2020 Accepting new patients
University of California Irvine Current Accepting new patients
Regents of the University of California Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Regents of the University of California Current Accepting new patients
University of California Irvine Past Accepting new patients
Uci Department of Urology Past Accepting new patients
Uci Medical Group Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1640 Newport Blvd
Ste 100
Costa Mesa, CA 92627
Phone (949) 478-8000

1640 Newport Blvd
Ste 300
Costa Mesa, CA 92627
Phone (949) 386-5101

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

Organizations & group practices 10

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 4

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1699138511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 300",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277725",
            "telephone_number": "949-386-5101",
            "fax_number": "833-623-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 300",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277725",
            "telephone_number": "949-386-5101",
            "fax_number": "833-623-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "VANESSA",
        "middle_name": "YU-WEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A152955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.