Individual provider Active NPI

Alfred H Wu

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1982320172
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95022128 Issued in CA
Practice address
3 Corporate Park Ste 170
Ste 170
Irvine, CA 92606-5162
Phone
(855) 427-2778
Fax
(949) 900-2175
NPI assigned
Oct 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95022128 CA Primary

Addresses

Primary practice location

3 Corporate Park Ste 170
Ste 170
Irvine, CA 92606-5162

Mailing address

3 Corporate Park Ste 170
Ste 170
Irvine, CA 92606-5162
Phone (855) 427-2778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95022128CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Mental Health Nursing Inc Current Accepting new patients
Mark David Levine, MD Burlingame PC PastSince Oct 23, 2022 Accepting new patients

Organizations & group practices 2

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1982320172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORPORATE PARK STE 170",
            "address_2": "STE 170",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065162",
            "telephone_number": "855-427-2778",
            "fax_number": "949-900-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORPORATE PARK STE 170",
            "address_2": "STE 170",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065162",
            "telephone_number": "855-427-2778",
            "fax_number": "949-900-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "ALFRED",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.