Individual provider Active NPI

James Guolin Wu

  • Dermatology Physician
  • Long Beach, CA
National Provider Identifier
1851711345
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A154528 Issued in CA
Practice address
1045 Atlantic Ave Ste 819
Long Beach, CA 90813
Phone
(562) 435-5621
Fax
(562) 437-3121
NPI assigned
Apr 23, 2014
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A154528 CA Primary

Addresses

Primary practice location

1045 Atlantic Ave Ste 819
Long Beach, CA 90813

Mailing address

14650 Aviation Blvd Ste 235
Hawthorne, CA 90250-6666
Phone (310) 643-9333

Other practice location 1

14650 Aviation Blvd Ste 235
Hawthorne, CA 90250-6666
Phone (310) 643-9333

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
I20180830000684 CA Practitioner - DermatologyPractitioner - Internal Medicine 2860742582 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wu Enterprise IncGroup PAC ID 5193113090, 4 clinicians
W Dermatology West Covina IncGroup PAC ID 0042703910, 4 clinicians

Practice addresses (Care Compare)

1045 Atlantic Ave
Suite 819
Long Beach, CA 90813-3410
Phone (562) 435-5621

14650 Aviation Blvd
Suite 235
Hawthorne, CA 90250-6666
Phone (310) 643-9333

933 S Sunset Ave
Suite 301
West Covina, CA 91790-3410
Phone (626) 960-5464

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision366
Removal of tissue1-10
Removal of skin lesions2758
Removal of skin cancer144
Removal of nail tissue1-10
Removal or shaving of skin growth16
Skin biopsy1572

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154528CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W Dermatology West Covina Inc. Dermatology CurrentSince Nov 1, 2025 Accepting new patients
James Wu MD Inc Dermatology CurrentSince Jan 28, 2020 Accepting new patients
Wu Enterprise Inc. CurrentSince May 1, 2022 Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

14650 Aviation Blvd
Ste 235
Hawthorne, CA 90250
Phone (310) 643-9333

1045 Atlantic Ave
Ste 819
Long Beach, CA 90813
Phone (562) 435-5621

933 S Sunset Ave
Ste 301
West Covina, CA 91790
Phone (626) 960-5464

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1851711345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD STE 235",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506666",
            "telephone_number": "310-643-9333",
            "fax_number": "310-643-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 819",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90813",
            "telephone_number": "562-435-5621",
            "fax_number": "562-437-3121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14650 Aviation Blvd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902506666",
            "country_code": "US",
            "telephone_number": "310-643-9333",
            "fax_number": "310-643-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "JAMES",
        "middle_name": "GUOLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A154528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.