Active NPI
Ivan T.J. Wu, AU.D
- Audiologist-Hearing Aid Fitter
- Arcadia, CA
National Provider Identifier
1891900890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU2044
- Practice address
- 411 E Huntington Dr
Ste 121
Arcadia, CA 91006-3731 - Phone
- (626) 574-3138
- Fax
- (626) 574-3195
- NPI assigned
- May 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU2044 | CA | Primary |
Addresses
Primary practice location
411 E Huntington Dr
Ste 121
Arcadia, CA 91006-3731
Mailing address
215 Shuman Blvd
Ste 401
Naperville, IL 60563-8458
Phone (630) 303-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU2044 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1891900890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD",
"address_2": "STE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638458",
"telephone_number": "630-303-5380",
"fax_number": "978-313-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E HUNTINGTON DR",
"address_2": "STE 121",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063731",
"telephone_number": "626-574-3138",
"fax_number": "626-574-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "IVAN",
"middle_name": "T.J.",
"name_prefix": "Mr.",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-12",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU2044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.