Kenneth P. Jiang, M.D., Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A66628 Issued in CA

Legal business name

KENNETH P. JIANG, M.D., INC.

Practice address

901 Sunset Dr
3
Hollister, CA 95023-5613

Phone

(831) 636-4994

NPI assigned

Feb 8, 2007

Last updated

Oct 22, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Tax ID family

Cornerstone Health2 organizations share this tax ID, including this one

Part of

Medvantx Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kenneth P. Jiang Inc

  dba Cornerstone Health

  • Non-Pharmacy Dispensing Site
  • Hollister, CA
  • NPI 1578603361
  NPD tax ID

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1275674814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705",
            "telephone_number": "858-624-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNSET DR",
            "address_2": "3",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235613",
            "telephone_number": "831-636-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH P. JIANG, M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A66628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jullian Nguyen MD Sports & Family Medicine (Jullian Nguyen MD, Sports & Family Medicine Corp.)
• Nino Kafati
• Balpreet Kaur, D.D.S
• Kenneth P. Jiang Inc (Cornerstone Health)
• Kenneth P. Jiang MD, Inc (Cornerstone Health)
• Dilshad M. Kheraj, D.O.
• Khoi Le, D.D.S Inc.
• Kim Dental Corporation (Family Dental and Implant Center)
• Audrey Kim, DDS
• Sheila Kimura, MFT

• Non-Pharmacy Dispensing Site in Hollister, CA
• Providers in Hollister, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.