Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1417963661
Tai Hing WuMD
Active
NPI Number1417963661
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1417963661
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-07-31
Last Updated2008-11-01
Mailing Address415 W Valley Blvd
San Gabriel, CA 91776-3728
United States
Phone: (626) 943-9240 | Fax: (626) 943-9242
📍 View Map
Primary Practice Address415 W Valley Blvd, C
San Gabriel, CA 91776-3728
United States
Phone: (626) 943-9240 | Fax: (626) 943-9242
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCA00A466920-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineCAA46692
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About NPI 1417963661

Tai Hing Wu MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1417963661. The primary specialty listed is Internal Medicine. The provider is located in San Gabriel, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417963661?

NPI 1417963661 belongs to Tai Hing Wu MD, a Internal Medicine in San Gabriel, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417963661 active?

The current status of NPI 1417963661 in the NPPES registry is Active. The record was last updated on 2008-11-01.

What specialty is NPI 1417963661?

NPI 1417963661 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417963661?

You can verify NPI 1417963661 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417963661?

The primary practice address on file for NPI 1417963661 is 415 W Valley Blvd, San Gabriel, CA 91776-3728. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417963661 issued?

NPI 1417963661 was first issued (enumerated) on 2006-07-31. The NPPES record was last updated on 2008-11-01.

Practice Location Map

Tai Hing Wu is located at 415 W Valley Blvd, San Gabriel, CA. Use the map below to find directions or verify the practice location.

📍 415 W Valley Blvd, San Gabriel, CA 91776-3728  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Tai Hing Wu. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1417963661. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal MedicineA46692CA
Data Verified from CMS NPPES Last synced: 2026-08-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162