Pei-CHI Wu DO a Professional Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20A10934 Issued in CA

Legal business name

PEI-CHI WU DO A PROFESSIONAL MEDICAL CORPORATION

Practice address

2020 S Brea Canyon Rd Ste A1
Diamond Bar, CA 91765-4012

Phone

(909) 861-6853

Fax

(909) 963-1796

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Pei-CHI Wu, D.O.NPI 1669706453

Title

President

Phone

(909) 861-6853

Specialties & licenses 1

Addresses

Other names 1

• DB Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Pei-CHI Wu, D.O.

  • Family Medicine Physician
  • Diamond Bar, CA
  • NPI 1669706453
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1710357579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S BREA CANYON RD STE A1",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654012",
            "telephone_number": "909-861-6853",
            "fax_number": "909-963-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S BREA CANYON RD STE A1",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654012",
            "telephone_number": "909-861-6853",
            "fax_number": "909-963-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEI-CHI WU DO A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "PEI-CHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-861-6853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A10934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DB Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.