Individual provider Active NPI

Elisabeth Ruiyi Jiang, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Ramon, CA
National Provider Identifier
1275364259
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95031500 Issued in CA
Practice address
5201 Norris Canyon Rd
San Ramon, CA 94583-5411
Phone
(206) 823-1004
NPI assigned
Aug 12, 2024
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95031500 CA Primary

Addresses

Primary practice location

5201 Norris Canyon Rd
San Ramon, CA 94583-5411

Mailing address

740 Shell Ave Apt 302
Martinez, CA 94553-3235
Phone (972) 834-3176

Other practice location 1

150 Muir Rd
Martinez, CA 94553-4668
Phone (925) 372-2000

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
I20250619001611 CA Practitioner - Nurse Practitioner 4082125646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Behavioral HealthGroup PAC ID 5294267407, 17 clinicians

Practice addresses (Care Compare)

12332 Garden Grove Blvd
Garden Grove, CA 92843-1804
Phone (714) 534-1041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95031500CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Behavioral Health CurrentSince May 9, 2025 Accepting new patients

Locations

22590 Voss Ave
Cupertino, CA 95014
Phone (408) 253-9034

12332 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 534-1041

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1275364259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 SHELL AVE APT 302",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533235",
            "telephone_number": "972-834-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NORRIS CANYON RD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835411",
            "telephone_number": "206-823-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Muir Rd",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "CA",
            "postal_code": "945534668",
            "country_code": "US",
            "telephone_number": "925-372-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIANG",
        "first_name": "ELISABETH",
        "middle_name": "RUIYI",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95031500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.