NAN JIANG P.A.
NPI 1528451812
Physician Assistant - Medical in Pomona, CA

Q: What is Nan Jiang's NPI number?

The NPI number for Nan Jiang is 1528451812. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Q: What is Nan Jiang's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nan Jiang was last updated on April 18, 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.

Active since March 10, 2015PECOS EnrolledAccepts Medicare Assignment

1555 S GAREY AVE, POMONA, CA 91766(909) 620-8088(909) 623-9648 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nan Jiang P.a. NPPES

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

NAN JIANG P.A. (NPI 1528451812) is an individual medical provider in Pomona, California, licensed in Texas (PA09643) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2014).

NPPES Registry Identity

NPI1528451812

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNAN JIANGCredential: P.A.

Location Address1555 S GAREY AVEPomona, CA 91766-5222

Mailing Address1555 S Garey AvePomona, CA 91766-5222 · (909) 620-8088 · Fax (909) 623-9648

Phone(909) 620-8088

Fax(909) 623-9648

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2014

Enumeration DateMarch 10, 2015

Last NPPES UpdateApril 18, 2018

✔ NPI 1528451812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA09643

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA54434 (CA)

1555 S GAREY AVE, Pomona, CA 91766

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nan Jiang P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547696924

PECOS Enrollment IDI20200203001378

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.

DIANA AGUAYO LCSW

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