JONATHAN WU (NPI# 1174612170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174612170 |
Entity Type | Individual |
Full Name | JONATHAN WU |
Credential | PA-C |
Practice Address |
7525 Metropolitan Dr Ste 306 San Diego CA 92108-4404 |
Mailing Address |
Po Box 722982 San Diego CA 92172-2982 |
Practice Telephone | 8443167979 |
Practice Fax Number | 8668131235 |
Mailing Telephone | 8583498085 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2019-12-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA18550 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PA LICENSE | PA18550 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821586041 | Jonathan P.C. Wu | Dentist | 3916 Prince St Ste M52, Flushing, NY 11354 | 2018-04-23 |
1740625813 | Jonathan Yun-hong Wu | General Practice | 55 S Raymond Ave Ste 105, Alhambra, CA 91801-7101 | 2013-05-02 |
1225201171 | Jonathan Wu | Specialist | 7269 Hawkins View Dr, Fort Worth, TX 76132-3921 | 2008-04-10 |
1003902644 | Jonathan Hwakan Wu | Acupuncturist | 1718 Colorado Blvd, Los Angeles, CA 90041-1338 | 2006-10-04 |
1629678669 | Jonathan Wu | Pharmacist | 3075 E Tropicana Ave, Las Vegas, NV 89121-7311 | 2020-10-28 |
1982233649 | Jonathan Gene-lin Wu | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-04-05 |
1023645132 | Jonathan Wu | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-03-26 |
1558922245 | Jonathan Keith Wu | Student in an Organized Health Care Education/Training Program | 10238 E Hampton Ave Ste 406, Mesa, AZ 85209-3319 | 2019-06-24 |
1033603212 | Jonathan Thomas Wu | Dentist | 3330 Piedmont Rd Ne Ste 13, Atlanta, GA 30305-1726 | 2018-06-20 |
1710148861 | Jonathan Wu | Urology | 3430 E La Palma Ave, Kaiser Permanente Dept of Urology, Anaheim, CA 92806-2020 | 2008-06-20 |
Street Address |
7525 METROPOLITAN DR STE 306 |
City | SAN DIEGO |
State | CA |
Zip Code | 92108-4404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780285544 | Karen Wong | Physical Therapist | 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 | 2020-11-06 |
1457856999 | Lissa Taitano | Physical Therapist | 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 | 2018-03-27 |
1396125373 | Spinezone Medical Fitness | Orthopaedic Surgery | 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 | 2015-06-04 |
1154729390 | Spinezone Medical Fitness | Orthopaedic Surgery | 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 | 2014-12-19 |
1144469404 | Spinezone Medical Fitness, Inc. | Clinic/Center | 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 | 2009-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
Find all providers in zip 92108 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477932978 | Mobile Wound Care Physician Assistant Corporation | Physician Assistant | 2028 31st St, San Diego, CA 92104-5632 | 2015-05-29 |
1437454220 | Peter Deane Houston | Physician Assistant | 9040 Friars Rd Ste 230, San Diego, CA 92108-5860 | 2011-01-25 |
1720288087 | Laura Ruth Duffy | Physician Assistant | 1643 6th Ave, #204, San Diego, CA 92101-2757 | 2007-07-24 |
1861539348 | Norman K Moser | Physician Assistant | 34800 Bob Wilson Dr Suite 112, Nmcsd, San Diego, CA 92134-1112 | 2007-01-31 |
1538214515 | Shaun D Young | Physician Assistant | 8901 Activity Road, San Diego, CA 92126 | 2007-01-23 |
1982798112 | Virginia Ann Floco | Physician Assistant | 3030 Childrens Way Ste 402, San Diego, CA 92123-4228 | 2006-10-03 |
1366464471 | Colleen Gustafson Espenschied | Physician Assistant | 2017 1st Ave, San Diego, CA 92101-2033 | 2006-07-25 |
1396719779 | Brian Joseph O'neill | Physician Assistant | 11532 Village Ridge Rd, San Diego, CA 92131-3905 | 2006-02-14 |
1619974623 | Kimberlee J Knox | Physician Assistant | 3307 4th Ave, San Diego, CA 92103-5703 | 2005-07-05 |
1073519278 | James Harvey Kimber | Physician Assistant | 12547 El Camino Real, Unit E, San Diego, CA 92130-4054 | 2005-06-22 |
Find all providers in SAN DIEGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.