Individual provider Active NPI

Ivan T.J. Wu, AU.D

  • Audiologist-Hearing Aid Fitter
  • Arcadia, CA
National Provider Identifier
1891900890
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2044 Issued in CA
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

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AU2044CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Connect Hearing, Inc. Audiologist-Hearing Aid Fitter PastSince Dec 16, 2020 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 PastSince Dec 28, 2022 Accepting new patients
Connect Hearing, Inc. Audiologist-Hearing Aid Fitter PastSince Oct 3, 2014 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.

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.

Verify at the official NPI Registry.