NPIMap

Organization Active NPI

Yi-PO Anthony Wu.,M.D.,M.P.H.,Inc

Doing business as Pacific Complementary Medicine Center

  • Internal Medicine Physician
  • Stockton, CA
National Provider Identifier
1942467451
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A40605 Issued in CA
Legal business name
YI-PO ANTHONY WU.,M.D.,M.P.H.,INC
Doing business as
Pacific Complementary Medicine Center
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
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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.NPI 1427056209
Title
Chief Executive Officer
Phone
(209) 464-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 names 1

  • Pacific Complementary Medicine Center Doing business as

National Provider Directory

National Provider Directory

Locations

645 W Harding Way
Ste 15
Stockton, CA 95204
Phone (209) 464-4800

Practitioners & affiliated clinicians

Practitioners 1

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.

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": [],
    "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.

Verify at the official NPI Registry.