Individual provider Active NPI

Timothy Yo Wu, MD

  • Internal Medicine Physician
  • Montclair, CA
National Provider Identifier
1700375656
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125071848 Issued in IL
Practice address
9525 Monte Vista Ave # 105
Montclair, CA 91763-2231
Phone
(909) 731-2715
NPI assigned
May 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 125071848 IL Primary

Addresses

Primary practice location

9525 Monte Vista Ave # 105
Montclair, CA 91763-2231

Mailing address

9525 Monte Vista Ave # 105
Montclair, CA 91763-2231
Phone (909) 731-2715

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
I20211004000616 CA Practitioner - Internal MedicinePractitioner - Hospitalist 3577812494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Physicians Primary Care ServicesGroup PAC ID 4385047380, 8 clinicians
Inland Physicians Hospitalist ServicesGroup PAC ID 5294135612, 14 clinicians

Practice addresses (Care Compare)

9525 Monte Vista Ave
Suite 105
Montclair, CA 91763-2231
Phone (909) 626-1205

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586
  • Casa Colina Hosp for Rehab Medicine Inpatient rehabilitation facility, Pomona, CA, CCN 05T782
  • Inland Valley Care and Rehabilitation Center Nursing home, Pomona, CA, CCN 056431
  • Upland Rehabilitation and Care Center Nursing home, Upland, CA, CCN 055374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125071848ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Physicians Primary Care Services Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Inland Physicians Hospitalist Services CurrentSince Sep 1, 2021 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients

Locations

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

9525 Monte Vista Ave
Unit 105
Montclair, CA 91763
Phone (909) 626-1205

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

1113 Alta Ave
Ste 220
Upland, CA 91786
Phone (909) 985-1908

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
San Antonio Regional HospitalUpland, CA, CCN 050099 Hospital Corporate Director (8.33%) Jan 1, 2026

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 3

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 9

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1700375656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 MONTE VISTA AVE # 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632231",
            "telephone_number": "909-731-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 MONTE VISTA AVE # 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632231",
            "telephone_number": "909-731-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "TIMOTHY",
        "middle_name": "YO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125071848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.