NAN JIANG P.A. NPI 1528451812

NPI Information

  • NPI: 1528451812
  • Provider Name: NAN JIANG, P.A.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1555 S GAREY AVE
    POMONA, CA
    ZIP 91766
  • Phone: (909) 620-8088

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NPI Details

Nan Jiang, P.A. is a medical physician assistant in Pomona, CA with 11 years of experience. Nan Jiang, P.A. NPI is 1528451812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:2014

The provider's business location address is:

1555 S GAREY AVE
POMONA, CA
ZIP 91766-222
Phone: (909) 620-8088
Fax: (909) 623-9648

The NPI 1528451812 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/10/2015 and was last updated on 4/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA54434CALIFORNIANo
2363AM0700XPhysician AssistantMedicalPA09643TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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