Individual provider Active NPI

Yan Jiang, FNP

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1578074035
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007817 Issued in CA
Practice address
1633 S Court Stress
Visalia, CA 93277
Phone
(559) 624-6090
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007817 CA Primary

Addresses

Primary practice location

1633 S Court Stress
Visalia, CA 93277

Mailing address

1633 S Court Stress
Visalia, CA 93277
Phone (559) 624-6090

Other identifiers 1

IdentifierTypeStateIssuer
1578074035MedicaidCA

Other names 1

  • Yan Jiang Former name

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
I20180611002846 CA Practitioner - Nurse Practitioner 6901151182 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

200 C St
Patterson, CA 95363-2701
Phone (209) 722-4842

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Jun 1, 2018 Accepting new patients
Cep America-California CurrentSince Dec 8, 2023 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jun 1, 2018 Accepting new patients
Cep America - California CurrentSince Dec 8, 2023 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jun 1, 2018 Accepting new patients
Cep America-California CurrentSince Dec 8, 2023 Accepting new patients
Golden Valley Health Centers CurrentSince Oct 1, 2024 Accepting new patients
Cep America - California Current Accepting new patients
Golden Valley Health Centers CurrentSince Oct 1, 2024 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Cep America - California Current Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations (25 of 27)

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

857 W Childs Ave
Merced, CA 95341
Phone (209) 384-2706

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1510 Florida Ave
Ste A
Modesto, CA 95350
Phone (209) 492-7150

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Interoperability endpoints

  • Direct secure messaging: yan.jiang.1@17661.direct.athenahealth.com
  • Direct secure messaging: yjiang674717@hisp.ehr.sutterhealth.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1578074035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 S COURT STRESS",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-624-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 S COURT STRESS",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-624-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "YAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578074035",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAN",
            "last_name": "JIANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.