JONATHAN WU


Address: 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404
Phone: 8443167979

JONATHAN WU (NPI# 1174612170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA PA LICENSE PA18550 01

Other Providers JONATHAN WU

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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
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Office Location

Street Address 7525 METROPOLITAN DR STE 306
City SAN DIEGO
State CA
Zip Code 92108-4404

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City SAN DIEGO
Zip Code 92108

Improve Information

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Dataset Information

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.

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