FANG JIANG (NPI# 1225557903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225557903 |
| Entity Type | Individual |
| Full Name | FANG JIANG |
| Practice Address |
1225 15th St Ste 2100 Santa Monica CA 90404-1101 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3103191234 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
54914 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6418 Vegas Dr, San Jose, CA 951201846 | 4086008187 | |
| 100 Ucla Medical Plaza Suite 755, Los Angeles, CA 900951846 | 3103191234 |
| Street Address |
1225 15TH ST STE 2100 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417392689 | Andrew Robert Jensen | Orthopaedic Surgery | 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 | 2013-05-01 |
| 1356977326 | Daniel Chiou | Student in an Organized Health Care Education/Training Program | 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 | 2020-03-20 |
| 1144609314 | Jacob Bingham | Orthopaedic Surgery | 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 | 2015-05-21 |
| 1184011058 | Ardavan Ariel Saadat | Orthopaedic Surgery | 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 | 2015-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992044770 | Jennifer Anzo | Physician Assistant | 1024 14th St Apt D, Santa Monica, CA 90403-7205 | 2013-02-13 |
| 1518239078 | Cortney Lee Spraker | Physician Assistant | 1301 20th St Ste 440, Santa Monica, CA 90404-2109 | 2012-01-30 |
| 1063514578 | Christopher Stephen Novits | Physician Assistant | 1222 Princeton St, Unit 18, Santa Monica, CA 90404-1449 | 2006-09-04 |
| 1508358805 | Grace Castanon | Physician Assistant | 2001 Santa Monica Blvd Ste 760w, Santa Monica, CA 90404-2102 | 2018-06-01 |
| 1548547532 | Physician Assistant Surgical Specialists, Inc. | Physician Assistant | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2011-11-04 |
| 1508172016 | Stephanie E Pongracz | Physician Assistant | 2020 Santa Monica Blvd, Suite 400, Santa Monica, CA 90404-2023 | 2010-08-20 |
| 1447370697 | Cheri Phillips | Physician Assistant | 1301 20th St, 400, Santa Monica, CA 90404-2050 | 2007-03-30 |
| 1457494197 | Tanya Marie Cariveau | Physician Assistant | 1328 22nd St, Orthopedic Department, Santa Monica, CA 90404-2032 | 2007-02-14 |
| 1548302771 | Jason Menadue | Physician Assistant | 2001 Santa Monica Blvd Ste 760w, Santa Monica, CA 90404-2102 | 2007-02-13 |
| 1619912276 | Lisa Marie Cano | Physician Assistant | 1301 20th St, Santa Monica, CA 90404-2080 | 2006-06-18 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on FANG JIANG.
| 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.