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FANG JIANG
NPI 1225557903
Physician Assistant - Surgical in Santa Monica, CA

Active since September 14, 2017PECOS Enrolled
1225 15TH ST STE 2100, SANTA MONICA, CA 90404(310) 319-1234 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Oct 5, 2020, Aug 28, 2020 and 4 more (7 updates tracked since 2017).

About Fang Jiang NPPES

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

FANG JIANG (NPI 1225557903) is an individual surgical provider in Santa Monica, California, licensed in California (54914) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225557903
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameFANG JIANG
Location Address1225 15TH ST STE 2100Santa Monica, CA 90404-1101
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 319-1234
Sole ProprietorNo
Enumeration DateSeptember 14, 2017
Last NPPES UpdateDecember 8, 20217 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1225557903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 54914
Also ListedPhysician AssistantTaxonomy 363A00000X
1225 15TH ST STE 2100, Santa Monica, CA 90404
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Secondary Practice Locations 2

Location 1100 Ucla Medical Plaza Suite 755Los Angeles, CA 90095-1846 · Phone (310) 319-1234
Location 26418 Vegas DrSan Jose, CA 95120-1846 · Phone (408) 600-8187

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fang 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.

Other Providers at the Same Location NPPES 20

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

DR. SHANE ALAN HERVEY MD
Family Medicine
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
DANIEL JIE WENG
Physical Medicine & Rehabilitation
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
DR. WEI KANG WU M.D.
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
MADELINE SHAOYUN TIEE
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
AMANDA MARIE HONSVALL HOEFLER M.D.
Family Medicine (Sports Medicine)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
DR. FRANK ANTHONY PETRIGLIANO MD
Orthopaedic Surgery (Sports Medicine)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
SHAHRZAD SALARKIA
Nurse Practitioner (Family)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (424) 259-6560
RYAN DAVID STANCIL M.D.
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-3475

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 Fang Jiang's NPI number?

The NPI number for Fang Jiang is 1225557903. It was assigned to this individual provider in the NPPES registry on September 14, 2017.

Where is Fang Jiang located?

Fang Jiang practices at 1225 15th St Ste 2100, Santa Monica, CA 90404. The listed phone number is (310) 319-1234.

What is Fang Jiang's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Fang Jiang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Fang Jiang was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.