Active NPI
Elisabeth Ruiyi Jiang, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- San Ramon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95031500
- Practice address
- 5201 Norris Canyon Rd
San Ramon, CA 94583-5411 - Phone
- (206) 823-1004
- NPI assigned
- Aug 12, 2024
- Last updated
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95031500 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Behavioral Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.