| Fang Jiang, | |
|
1225 15th St Ste 2100, Santa Monica, CA 90404-1101 | |
| (310) 319-1234 | |
| Not Available |
| Full Name | Fang Jiang |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 1225 15th St Ste 2100, Santa Monica, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225557903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 54914 (California) | Primary |
| Entity Name | UCSF Pediatrics Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
| Entity Name | University of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | UCSF Dept of Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839 |
| Entity Name | UCSF Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Entity Name | Golden State Dermatology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605 |
| Entity Name | Providence Saint Johns Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Fang Jiang, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: Not Available | Fang Jiang, 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 Ph: (310) 319-1234 |
Sylvia S Chen, P.A.-C, MMS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd., Suite 468w, Santa Monica, CA 90404 Phone: 310-255-0990 Fax: 310-255-0996 |
Mrs. Inna Gitelman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 507 Wilshire Blvd, #313, Santa Monica, CA 90401 Phone: 516-477-4345 |
Judy Dang Truong, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-8265 Fax: 310-582-7287 |
Brittany Lehmann, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2730 Wilshire Blvd Ste 320, Santa Monica, CA 90403 Phone: 310-566-0858 |
Mrs. Kasey Drapeau-damato, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404 Phone: 310-829-4484 Fax: 310-829-4481 |
Mr. Christopher Stephen Novits, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1222 Princeton St, Unit 18, Santa Monica, CA 90404 Phone: 310-525-4882 |
Ms. Carolyn Gayle Goble, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2020 Santa Monica Blvd, Suite 400, Santa Monica, CA 90404 Phone: 310-829-2663 Fax: 310-315-2037 |