Kenneth P. Jiang MD, Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A65656 Issued in CA

Legal business name

KENNETH P. JIANG MD, INC

Practice address

890 Sunset Dr.
Suite a-2
Hollister, CA 95023

Phone

(831) 636-3116

Fax

(831) 636-1204

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Ray Seiji Kusumoto, MHS, PA

Title

President

Phone

(831) 636-3116

Specialties & licenses 2

Addresses

Other names 1

• Cornerstone Health Doing business as

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669691374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 F AIRLINE HWY #193",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-636-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 SUNSET DR.",
            "address_2": "SUITE A-2",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-636-3116",
            "fax_number": "831-636-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH P. JIANG MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KUSUMOTO",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "SEIJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-636-3116",
        "authorized_official_credential": "MHS, PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66628",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A65656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janelly Juarez
• Jullian Nguyen MD Sports & Family Medicine
• Nino Kafati
• Balpreet Kaur, D.D.S
• Kenneth P. Jiang Inc
• Kenneth P. Jiang, M.D., Inc.
• Dilshad M. Kheraj, D.O.
• Khoi Le, D.D.S Inc.
• Kim Dental Corporation
• Audrey Kim, DDS

• Infectious Disease Physician in Hollister, CA
• Providers in Hollister, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.