SANDY SHUHENG WU (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1093777575

SANDY SHUHENG WU (MD) is a healthcare provider. based in Van nuys, California. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. G82024 (CA). The NPI Number for SANDY SHUHENG WU (MD) is 1093777575

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
SANDY SHUHENG WU (MD)
NPI
1093777575
Phone
(805) 578-8300
Address
PO BOX 10076
Enumeration Date
3 April 2006
Last Update Date
12 April 2024

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2095723880
Graduation Year
1990 (36 years ago)
PAC ID
3072418003
Group Practice PAC ID
9032439336
Professional Enrollment ID
I20031203000616
Address ID
CA953504500MO1524XAVEX344

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,584 PATHOLOGY in CA

Provider Addresses for SANDY SHUHENG WU (MD)

  • PO BOX 10076

    VAN NUYS, CA 914100076

    Phone: (805) 578-8300

    Fax: (805) 578-8950

    Type: Mailing

  • 2131 W 3rd St

    Los Angeles, CA 900571901

    Phone: (213) 484-7935

    Type: Location

  • 9300 VALLEY CHILDRENS PL # SC05

    MADERA, CA 936368761

    Phone: (559) 353-5700

    Fax: (559) 353-5708

    Type: Mailing

  • Saint Vincent Medical Center, 2131, West 3rd Street, Westlake, Los Angeles, Los Angeles County, California, 90057, United States

    LOS ANGELES, CA 900571901

    Phone: (213) 484-7935

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-12-03

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
I20031203000616IPathologyCATBD

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 91410)

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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: 9032439336View full group profile
NameSpecialtyState
N E P H R O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Pediatric Medicine, Cardiovascular Disease (Cardiology)CA
H E M A T O L O G Y/ O N C O L O G YNV
N E U R O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YNC
Medical Genetics And GenomicsCA
R H E U M A T O L O G YCA

Reviews

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Frequently asked questions

Can I cross-check SANDY SHUHENG WU (MD) using NPI 1093777575?
NPI 1093777575 belongs to SANDY SHUHENG WU (MD); compare other details if you need extra assurance.
Active or inactive — what applies to SANDY SHUHENG WU (MD)?
You should see SANDY SHUHENG WU (MD) as active in CMS-hosted NPPES data.
How would a patient describe SANDY SHUHENG WU (MD)'s focus?
For SANDY SHUHENG WU (MD), the primary taxonomy reads as Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SANDY SHUHENG WU (MD)?
Travel planning: use Van Nuys, California as the reference point for SANDY SHUHENG WU (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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