Individual provider Active NPI

Liane Wu, PA-C

  • Physician Assistant
  • Watsonville, CA
National Provider Identifier
1982260774
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65918 Issued in CA
Practice address
398 S Green Valley Rd
Watsonville, CA 95076-3099
Phone
(831) 724-7525
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA65918 CA Primary

Addresses

Primary practice location

398 S Green Valley Rd
Watsonville, CA 95076-3099

Mailing address

398 S Green Valley Rd
Watsonville, CA 95076-3099
Phone (831) 724-7525

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520003985 CA Practitioner - Physician Assistant 9638697832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood Mar Monte IncGroup PAC ID 1456248954, 31 clinicians

Practice addresses (Care Compare)

398 S Green Valley Rd
Watsonville, CA 95076-3099
Phone (831) 724-7525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65918CAMDPharmacist
PA65918CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince May 5, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince May 5, 2025 Accepting new patients

Locations

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

398 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 724-7525

Interoperability endpoints

  • Direct secure messaging: liane.wu.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1982260774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 S GREEN VALLEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763099",
            "telephone_number": "831-724-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 S GREEN VALLEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763099",
            "telephone_number": "831-724-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "LIANE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.