Active NPI
Chou Wu, M.D., a Medical Corporation
- Primary Care Clinic/Center
- Elk Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- G065603
- Legal business name
- CHOU WU, M.D., A MEDICAL CORPORATION
- Practice address
- 5716 Anchor Bay Way
Elk Grove, CA 95758-6840 - Phone
- (916) 533-4173
- NPI assigned
- Jan 24, 2007
- Last updated
- Nov 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chou Ying Wu, M.D.
- Title
- President
- Phone
- (916) 522-4173
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | G065603 | CA | Primary |
Addresses
Primary practice location
5716 Anchor Bay Way
Elk Grove, CA 95758-6840
Mailing address
5716 Anchor Bay Way
Elk Grove, CA 95758-6840
Phone (915) 533-4173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G656030 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
3939 J St
Ste 330
Sacramento, CA 95819
Phone (916) 290-9003
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Elk Grove, CA
- NPI 1548228109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635897600000",
"number": "1982759395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5716 ANCHOR BAY WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957586840",
"telephone_number": "915-533-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 ANCHOR BAY WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957586840",
"telephone_number": "916-533-4173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOU WU, M.D., A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "CHOU",
"authorized_official_middle_name": "YING",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-522-4173",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "G065603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G656030",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.