Organization Active NPI

Chou Wu, M.D., a Medical Corporation

  • Primary Care Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1982759395
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G065603 Issued in CA
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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.NPI 1548228109
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G656030MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.