Jared Wu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102972 Issued in CA

Practice address

13275 South St
Cerritos, CA 90703-7307

Phone

(562) 924-8663

Fax

(562) 924-8890

NPI assigned

Apr 10, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jared Wu, DDS, Inc.

  • Dental Clinic/Center
  • Cerritos, CA
  • NPI 1194309591
  NPD Authorized official
• Philip I Kress DMD a Professional Corporation

  • General Practice Dentistry
  • Cerritos, CA
  • NPI 1043231392
  NPD (past)

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1972036507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13275 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037307",
            "telephone_number": "562-924-8663",
            "fax_number": "562-924-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13275 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037307",
            "telephone_number": "562-924-8663",
            "fax_number": "562-924-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11906 Los Alisos Cir",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906508214",
            "country_code": "US",
            "telephone_number": "408-580-6345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4310 Marine Ave",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "CA",
            "postal_code": "902601528",
            "country_code": "US",
            "telephone_number": "310-644-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "JARED",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Woo
• Paula Wan Wah Woo, N.P.
• Jennifer Marie Woolf, MSW
• Robert Woolsey, RN
• Natalie Wratschko
• Andrea Wulfsberg
• Qing Xu, NP
• Mike Michio Yagake, D.D.S.
• Yamada Chiropractic Inc.
• Jon R Yamada, D.C.

• General Practice Dentistry in Cerritos, CA
• Providers in Cerritos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.