Community Internal Medicine, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A740740 Issued in CA

Legal business name

COMMUNITY INTERNAL MEDICINE, INC.

Practice address

7880 Wren Ave.
Suite # D-143
Gilroy, CA 95020-7802

Phone

(408) 846-1800

Fax

(408) 846-1995

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Wendong Wu, M.D., PH.D.NPI 1659329993

Title

Owner and Ceo

Phone

(408) 500-9773

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Wendong Wu, M.D.,PH.D.

  • Internal Medicine Physician
  • Gilroy, CA
  • NPI 1659329993
  Medicare reassignment NPD Authorized official
• Esther Wen Wu, PHARM. D.

  • Pharmacist
  • Gilroy, CA
  • NPI 1386031961
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1710183512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE.",
            "address_2": "SUITE # D-143",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207802",
            "telephone_number": "408-846-1800",
            "fax_number": "408-846-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE.",
            "address_2": "SUITE # D-143",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207802",
            "telephone_number": "408-846-1800",
            "fax_number": "408-846-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "WENDONG",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "408-500-9773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A740740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A740740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pete M Collom, MFT, PHD
• Dina Colorado Barraza
• Craleen Colvin-Hernandez
• Hannah Floreza Combs, MSW
• Erika Comment
• Community Solutions
• Community Solutions for Children, Families, and Individuals
• Jacqueline Reyna Compton
• Brynlee Marie Condie
• Bryce Constantino

• Internal Medicine Physician in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.