Individual provider Active NPI

Clayton Wu

  • Emergency Medicine Physician
  • Sacramento, CA
National Provider Identifier
1871928341
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17902 Issued in NV
Practice address
4610 X St
Sacramento, CA 95817-2200
Phone
(916) 816-0599
NPI assigned
Sep 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17902 NV Primary

Addresses

Primary practice location

4610 X St
Sacramento, CA 95817-2200

Mailing address

4610 X St
Sacramento, CA 95817-2200
Phone (916) 816-0599

Other practice location 1

4855 Blue Diamond Rd
Las Vegas, NV 89139-7602
Phone (702) 216-7305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181114002490 NV Practitioner - Emergency Medicine 9638423452 Reassigns benefits to 3 organizations
I20231211003534 CA Practitioner - Emergency Medicine 9638423452 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17902NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 19, 2018 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Mills Peninsula Emergency Medical Associates Inc Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Jun 8, 2024 Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 19, 2018 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Jun 8, 2024 Accepting new patients
Winnemucca Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Mills Peninsula Emergency Medical Associates Inc Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients

Locations

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

Interoperability endpoints

  • Direct secure messaging: cwu674307@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1871928341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 X ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172200",
            "telephone_number": "916-816-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 X ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172200",
            "telephone_number": "916-816-0599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4855 Blue Diamond Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891397602",
            "country_code": "US",
            "telephone_number": "702-216-7305",
            "fax_number": "702-634-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "CLAYTON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "17902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.