Active NPI
Yi-PO Anthony Wu.,M.D.,M.P.H.,Inc
- Internal Medicine Physician
- Stockton, CA
National Provider Identifier
1942467451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A40605
- Legal business name
- YI-PO ANTHONY WU.,M.D.,M.P.H.,INC
- Practice address
- 645 W Harding Way Ste 15
Stockton, CA 95204-5688 - Phone
- (209) 464-4800
- Fax
- (209) 464-1289
- NPI assigned
- May 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yi-PO A Wu, M.D.
- Title
- Chief Executive Officer
- Phone
- (209) 464-4800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A40605 | CA | Primary |
Addresses
Primary practice location
645 W Harding Way Ste 15
Stockton, CA 95204-5688
Mailing address
645 W Harding Way Ste 15
Stockton, CA 95204-5688
Phone (209) 464-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110008044 | Other | CA | RAILROAD MEDICARE |
Other names 1
- Pacific Complementary Medicine Center
National Provider Directory
National Provider DirectoryLocations
645 W Harding Way
Ste 15
Stockton, CA 95204
Phone (209) 464-4800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219363200000",
"number": "1942467451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 W HARDING WAY STE 15",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045688",
"telephone_number": "209-464-4800",
"fax_number": "209-464-1289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 W HARDING WAY STE 15",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045688",
"telephone_number": "209-464-4800",
"fax_number": "209-464-1289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YI-PO ANTHONY WU.,M.D.,M.P.H.,INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2008-08-22",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "YI-PO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "209-464-4800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A40605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110008044",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Complementary Medicine Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.