| Community Internal Medicine, Inc. | |
|
7880 Wren Ave. Suite # D-143 Gilroy CA 95020-7802 | |
| (408) 846-1800 | |
| (408) 846-1995 |
| Full Name | Community Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7880 Wren Ave., Gilroy, California |
| Authorized Official Name and Position | Samuel Wendong Wu (OWNER AND CEO) |
| Authorized Official Contact | 4085009773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Internal Medicine, Inc. 7880 Wren Ave. Suite # D-143 Gilroy CA 95020-7802 Ph: (408) 846-1800 | Community Internal Medicine, Inc. 7880 Wren Ave. Suite # D-143 Gilroy CA 95020-7802 Ph: (408) 846-1800 |
| NPI Number | 1710183512 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 04/20/2024 |
| Certification Date | 04/20/2024 |
| Medicare PECOS PAC ID | 4587751052 |
|---|---|
| Medicare Enrollment ID | O20071030000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710183512 | NPI | - | NPPES |
| 00A740740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A740740 (California) | Primary |
| Provider Name | Samuel Wendong Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659329993 PECOS PAC ID: 5496842965 Enrollment ID: I20071030000653 |
School Health Clinics of Santa Clara County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9300 Wren Ave, Gilroy, CA 95020 Phone: 408-842-1017 |
Vhc at Gilroy Bcp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7475 Camino Arroyo, Gilroy, CA 95020 Phone: 408-885-5000 |
Vhc at Gilroy Hap Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7475 Camino Arroyo, Gilroy, CA 95020 Phone: 408-885-5000 |
Gardner South County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7526 Monterey St, Gilroy, CA 95020 Phone: 408-935-3933 Fax: 408-935-3988 |
Foothill Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9460 No Name Uno, Suite 110, Gilroy, CA 95020 Phone: 408-797-2500 Fax: 866-931-7822 |
California Emergency Physicians Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8833 Monterey Rd, Suite H, Gilroy, CA 95020 Phone: 408-842-1544 |