JACQUELINE WU (NPI# 1447760103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447760103 |
| Entity Type | Individual |
| Full Name | JACQUELINE WU |
| Credential | PA |
| Practice Address |
6340 Irvine Blvd Irvine CA 92620-2102 |
| Mailing Address |
3167 Via Montaneta Escondido CA 92029-7411 |
| Practice Telephone | 9495596500 |
| Mailing Telephone | 8583978278 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 55024 | CA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 55024 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13768 Roswell Ave Ste 118, Chino, CA 917101402 | 9095918200 | 9095918229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827966 | Jacqueline Wu | Nurse Practitioner | 1215 21st Ave S, Mce North Tower, Suite 5140, Nashville, TN 37232-8802 | 2018-10-23 |
| 1982188686 | Jacqueline Wu | Pharmacist | 2702 Valwood Pkwy, Farmers Branch, TX 75234-3530 | 2018-09-18 |
| 1487808374 | Jacqueline Wu | Optometrist | 350 S Lake Ave, Suite 111, Pasadena, CA 91101-3530 | 2008-11-05 |
| 1083639702 | Jacqueline J Wu | Surgery | 2 Medical Center Dr, Ste 308, Springfield, MA 01107-1270 | 2006-07-13 |
| Street Address |
6340 IRVINE BLVD |
| City | IRVINE |
| State | CA |
| Zip Code | 92620-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578586046 | Felix Yenan Horng | Family Medicine | 6340 Irvine Blvd, Irvine, CA 92620-2102 | 2006-07-25 |
| 1568860179 | Molly A Pelz | Physician Assistant | 6340 Irvine Blvd, Irvine, CA 92620-2102 | 2014-12-12 |
| 1710389648 | Laura E Mcneil | Nurse Practitioner | 6340 Irvine Blvd, Irvine, CA 92620 | 2014-09-23 |
| 1962781351 | Magdalena Al-saad | Nurse Practitioner | 6340 Irvine Blvd, Irvine, CA 92620-2102 | 2011-08-16 |
| 1013215219 | Jennifer Rhee | Family Medicine | 6340 Irvine Blvd, Irvine, CA 92620-2102 | 2011-03-11 |
| 1235444068 | Julie Elana Kaltgrad | General Practice | 6340 Irvine Blvd, Irvine, CA 92620-2102 | 2010-08-17 |
| 1730403841 | Rebecca Heston Lapating | Physician Assistant | 6340 Irvine Blvd, Irvine, CA 92620 | 2010-03-18 |
| 1356400683 | Horng Medical Enterprises Inc | Family Medicine | 6340 Irvine Blvd, Irvine, CA 92620 | 2006-12-06 |
| 1194892026 | Julie Haijung Kim | Internal Medicine | 6340 Irvine Blvd, Irvine, CA 92620-2102 | 2006-11-29 |
| 1548283914 | Bena Teo | Family Medicine | 6340 Irvine Blvd, Irvine, CA 92620 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662586 | Anna Maria Isabelle Muyuela Capati | Social Worker | 59 Sanctuary, Irvine, CA 92620 | 2020-06-03 |
| 1437608361 | Christine Jihae Kim | Dentist | 6 Appomattox, Irvine, CA 92620 | 2016-10-04 |
| 1720534548 | Acupia Wellness | Acupuncturist | 4940 Irvine Blvd Ste 204, Irvine, CA 92620 | 2016-08-31 |
| 1508241779 | Brian Licuanan | Psychologist | 17 Herringbone, Irvine, CA 92620 | 2015-07-29 |
| 1689069791 | Saedeh Nia | Pharmacist | 29 Dusty Rose, Irvine, CA 92620 | 2015-04-06 |
| 1285047886 | Dongwuk Koh | Technician/Technologist | 4790 Irvine Blvd Suit 105-180, Irvine, CA 92620 | 2014-06-11 |
| 1447693742 | Farhad Najafi | Internal Medicine | 26 Sanctuary, Irvine, CA 92620 | 2013-04-17 |
| 1619224524 | Nancy Patricia Hernandez | Counselor | 5 Slocum, Irvine, CA 92620 | 2012-08-09 |
| 1437442118 | Agape Health Care Services | In Home Supportive Care | 636 Grand Canal, Irvine, CA 92620 | 2011-05-27 |
| 1528296290 | Erika Ildiko Gray | Pharmacist | 3 Ninos, Irvine, CA 92620 | 2009-07-01 |
| Find all providers in zip 92620 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453541 | Stephen Benjamin Perez | Physician Assistant | 951 Somerville, Irvine, CA 92620-0264 | 2020-10-01 |
| 1922629831 | Lydia Yeeyen Lau | Physician Assistant | 14191 Saarinen Ct, Irvine, CA 92606-1853 | 2020-05-01 |
| 1053947184 | Shelby Harrison | Physician Assistant | 710 Oak Gln, Irvine, CA 92618-4718 | 2020-03-20 |
| 1174156194 | Chloe Tyau | Physician Assistant | 25 Pacifica Apt 5329, Irvine, CA 92618-3357 | 2020-02-18 |
| 1285285080 | Noura Aman | Physician Assistant | 12429 Spectrum, Irvine, CA 92618-3405 | 2019-09-23 |
| 1952810632 | Andrew Phan | Physician Assistant | 12 Villanova, Irvine, CA 92606-8929 | 2017-09-25 |
| 1194252395 | Sadie Mimi Kim | Physician Assistant | 263 Pineview, Irvine, CA 92620-1929 | 2017-05-18 |
| 1275084089 | Rosmarie Ahsan | Physician Assistant | 19191 Norwood Ter, Irvine, CA 92603-3511 | 2016-10-17 |
| 1730553173 | Darlene Vuong | Physician Assistant | 17 Skycrest, Irvine, CA 92603 | 2015-11-23 |
| 1407238942 | Jeanelle Lian Brick | Physician Assistant | 10 Whitecloud, Irvine, CA 92614-5447 | 2015-06-21 |
| Find all providers in IRVINE | ||||
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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.