Wu Kong-Tay MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WU KONG-TAY MD INC

Practice address

1818 N Orange Grove Ave
200
Pomona, CA 91767-3028

Phone

(909) 622-6433

Fax

(909) 469-2524

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kong-Tay Wu, M.D.

Title

President

Phone

(909) 622-6433

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Kong-Tay Wu MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kong-Tay Wu, M.D, Inc

  • Pediatrics Physician
  • Ontario, CA
  • NPI 1114231222
  NPD tax ID

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1790989267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE AVE",
            "address_2": "200",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673028",
            "telephone_number": "909-622-6433",
            "fax_number": "909-469-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE AVE",
            "address_2": "200",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673028",
            "telephone_number": "909-622-6433",
            "fax_number": "909-469-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WU KONG-TAY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "KONG-TAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-622-6433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A305530",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Leanne Wooten, RADT
• Elizabeth Anne Wright
• Richard Wright
• Emma Wrigley
• Ruby Berg Wry
• James Wu, PH.D. L.AC.
• James J Wu, M.D.
• Jiaqian Wu
• Kong-Tay Wu, MD
• Ming-Wei Daniel Wu, D.O.

• Pediatrics Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.