Individual provider Active NPI

Shirley Xiaoying Jiang, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1104597095
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017789 Issued in CA
Practice address
5901 W Century Blvd
Los Angeles, CA 90045-5411
Phone
(888) 641-5027
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017789 CA Primary

Addresses

Primary practice location

5901 W Century Blvd
Los Angeles, CA 90045-5411

Mailing address

898 N Pacific Coast Hwy Ste 600
El Segundo, CA 90245-2747
Phone (310) 698-5452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007000013 CA Practitioner - Nurse Practitioner 1759767262 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929
Phone (310) 376-6262

1300 N la Brea Ave
Los Angeles, CA 90028-7504
Phone (323) 464-1336

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

420 W Rowland St
Suite 101
Covina, CA 91723-2943
Phone (626) 412-2614

600 S Lake Ave
Suite 105
Pasadena, CA 91106-3955
Phone (626) 844-8848

797 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2617
Phone (626) 385-1455

Hospital & facility affiliations

  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017789CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Jan 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 3, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 3, 2023 Accepting new patients
Providence Medical Institute CurrentSince Jan 1, 2025 Accepting new patients
Providence Medical Institute Current Accepting new patients
Exer Medical Corporation CurrentSince Sep 1, 2024 Accepting new patients
Michael S. Agron, M.D., Inc. CurrentSince Aug 1, 2022 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1104597095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 N PACIFIC COAST HWY STE 600",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452747",
            "telephone_number": "310-698-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W CENTURY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455411",
            "telephone_number": "888-641-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "SHIRLEY",
        "middle_name": "XIAOYING",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.