Organization Active NPI

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

  • 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
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

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

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 identifiers 1

IdentifierTypeStateIssuer
110008044OtherCARAILROAD MEDICARE

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

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.

Verify at the official NPI Registry.