JOHNATHAN WU (MD) – Psychiatry Physician, NPI 1003375452

JOHNATHAN WU (MD) is a healthcare provider. based in Oakland, California. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD-23530 (HI). The NPI Number for JOHNATHAN WU (MD) is 1003375452

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JOHNATHAN WU (MD)
NPI
1003375452
Phone
(949) 910-2375
Address
275 W MACARTHUR BLVD
Enumeration Date
15 March 2019
Last Update Date
23 August 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8084327600
Graduation Year
2019 (7 years ago)
PAC ID
2860886975
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20230830001229
Address ID
HI968144402HO1441XBLVD301
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

4,130 PSYCHIATRY in CA

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Provider Addresses for JOHNATHAN WU (MD)

  • 275, West MacArthur Boulevard, Broadway Auto Row, Oakland, Alameda County, California, 94611, United States

    OAKLAND, CA 946115641

    Phone: (949) 910-2375

    Type: Mailing

  • 1441 KAPIOLANI BLVD FL 16

    HONOLULU, HI 968144402

    Phone: (808) 432-7600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($35).

Total Amount

$35

General + Research + Ownership

Payments

1

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230830001229IPsychiatryHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618880667View full group profile

Reviews

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Frequently asked questions

How do I look up JOHNATHAN WU (MD) by NPI?
Use NPI 1003375452 when you need to reference JOHNATHAN WU (MD) in forms, claims, or directories.
Is JOHNATHAN WU (MD) active in the national directory?
JOHNATHAN WU (MD)'s public NPI profile is in an active state.
What does JOHNATHAN WU (MD) treat or focus on?
Patients typically see JOHNATHAN WU (MD) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does JOHNATHAN WU (MD) practice in California?
You will see Oakland, California on file for JOHNATHAN WU (MD) alongside any extra practice locations.
How can I contact JOHNATHAN WU (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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