NPIMap

Organization Active NPI

Julie Wu, Inc

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1942400494
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
11544 Issued in NV
Legal business name
JULIE WU, INC
Practice address
5380 S Rainbow Blvd Ste 320
Las Vegas, NV 89118-1880
Phone
(702) 434-8880
Fax
(702) 862-8880
NPI assigned
Jul 23, 2007
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Julie Wu, M.D.NPI 1588602957
Title
President
Phone
(702) 419-3704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 11544 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd Ste 320
Las Vegas, NV 89118-1880

Mailing address

370 Whitly Bay Ave
Las Vegas, NV 89148-2816
Phone (702) 419-3704

Other identifiers 1

IdentifierTypeStateIssuer
1942400494MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927000120 NV Part B Supplier - Clinic/Group Practice 8628163201 Receives reassigned benefits from 22 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2995 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 805-1880

3750 S Jones Blvd
Las Vegas, NV 89103
Phone (702) 444-7744

5597 Spring Mountain Rd
Las Vegas, NV 89146
Phone (725) 240-8880

9280 W Sunset Rd
Ste 242
Las Vegas, NV 89148
Phone (702) 724-1400

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1942400494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 WHITLY BAY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482816",
            "telephone_number": "702-419-3704",
            "fax_number": "702-862-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181880",
            "telephone_number": "702-434-8880",
            "fax_number": "702-862-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE WU, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-419-3704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "11544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942400494",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.