Shu Pin Wu
Individual provider Active NPI Family Medicine Physician · Corcoran, CA
NPI 1972702165 · NPPES record last updated Nov 19, 2012
Key facts
- NPI
- 1972702165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A31440 (CA)
- Practice address
- 900 Quebec Avenue
Corcoran, CA 93212 - Phone
- (559) 992-7100
- Fax
- (559) 992-7104
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A31440 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Davita Medical Group Talbert California, P.C. | Family Medicine | Past | Accepting new patients |
| Talbert Medical Group, P.C. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- shupinwu@hcpca.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A31440 | CA | Yes |
Addresses
Primary practice location
900 Quebec Avenue
Corcoran, CA 93212
Mailing address
900 Quebec Avenue
Corcoran, CA 93212
Phone (559) 992-7100
Other providers in Corcoran, CA
- Whitley Emergency Physicians
- Irv M Wilbur
- Stephanie Nicole Willett
- Ashley Williams
- Ernest Woods
- Sarah Yang
- Serena Young
- Sergio Zamudio
- Lauren Nicole Zanutto
- Mimose Zephir
All providers in Corcoran, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.