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FONDA JIANG
NPI 1043590649
Allergy & Immunology in Long Beach, CA

Active since August 26, 2011PECOS Enrolled
3816 WOODRUFF AVE STE 209, LONG BEACH, CA 90808(562) 496-4749 Get Directions Write a Review

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fonda Jiang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FONDA JIANG (NPI 1043590649) is an individual allergy & immunology provider in Long Beach, California, licensed in California (A142275) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1043590649
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameFONDA JIANG
Location Address3816 WOODRUFF AVE STE 209Long Beach, CA 90808
Mailing Address3816 Woodruff Ave Ste 209Long Beach, CA 90808-2145 · (562) 496-4749
Phone(562) 496-4749
Sole ProprietorNo
Enumeration DateAugust 26, 2011
Last NPPES UpdateJuly 27, 2018
✔ NPI 1043590649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in CA · A142275
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
3816 WOODRUFF AVE STE 209, Long Beach, CA 90808
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Secondary Practice Location 1

Location 11101 Madison St, Pacific Medical Center- First HillSeattle, WA 98104-1306 · Phone (206) 505-1200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fonda Jiang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Fonda Jiang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beach Allergy & Asthma Specialty Group
Same address
Allergy & Immunology
3816 WOODRUFF AVE, SUITE 209
Long Beach, CA 90808
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1902873060 (562) 496-4749
Permanente Medical Group Inc
326 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALISON K MCCARTHY MSN, FNP-C
Registered Nurse
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
EMILY SHER ROBBINS DO
Pediatrics
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
STEVEN M MELTZER MD
Allergy & Immunology
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
MS. CHRISTINA SOOJUNG RYOU PA
Physician Assistant
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
KAYLA MIKA SAMESHIMA
Physician Assistant
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
ASHLEY SANDOVAL M.D.
Allergy & Immunology
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
JESSICA MARLOW
Nurse Practitioner (Family)
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
ANTOINETTE P BURKE PA-C, RD, CNSC
Physician Assistant
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fonda Jiang's NPI number?

The NPI number for Fonda Jiang is 1043590649. It was assigned to this individual provider in the NPPES registry on August 26, 2011.

Where is Fonda Jiang located?

Fonda Jiang practices at 3816 Woodruff Ave Ste 209, Long Beach, CA 90808. The listed phone number is (562) 496-4749.

What is Fonda Jiang's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Fonda Jiang enrolled in Medicare?

Yes. Fonda Jiang is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fonda Jiang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fonda Jiang reassigns Medicare benefits to 2 organizations: Beach Allergy & Asthma Specialty Group (Long Beach, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fonda Jiang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fonda Jiang was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.