Pengbo Jiang (NPI# 1699185603, PAC ID# 5092088005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1699185603 |
| PAC ID by PECOS | 5092088005 |
| Professional Enrollment ID | I20191108002745 |
| Full Name | Pengbo Jiang |
| Organization Legal Name | UCI DEPARTMENT OF UROLOGY |
| Address |
101 The City Dr S Orange CA 92868-3201 |
| Phone Number | 7144566054 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6901799238 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050348 | UNIVERSITY OF CALIFORNIA IRVINE MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 The City Dr S, Orange, CA 92868-3201 | 7144566054 | UCI DEPARTMENT OF UROLOGY |
| Organization Legal Name | UCI DEPARTMENT OF UROLOGY |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi A Stephany | Urology | Uci Department of Urology | 101 The City Dr S, Orange, CA 92868-3201 |
| Steven C Bereta | Nurse Practitioner | Uci Department of Urology | 101 The City Dr S, Orange, CA 92868-3201 |
| Antoine E Khoury | Urology | Uci Department of Urology | 101 The City Dr S, Orange, CA 92868-3201 |
| Ross M Moskowitz | Urology | Uci Department of Urology | 101 The City Dr S, Orange, CA 92868-3201 |
| Ralph V Clayman | Urology | Uci Department of Urology | 101 The City Dr S, Orange, CA 92868-3201 |
| Mrinal Dhar | Urology | Uci Department of Urology | 101 The City Dr S, Orange, CA 92868-3201 |
| Jaime Landman | Urology | Uci Department of Urology | 101 The City Dr S, Orange, CA 92868-3201 |
| Ramy F Yaacoub | Urology | Uci Department of Urology | 101 The City Dr S, Orange, CA 92868-3201 |
| Ronald S Solomon | Urology | Uci Department of Urology | 101 The City Dr S, Orange, CA 92868-3201 |
| Michael K Louie | Urology | Uci Department of Urology | 101 The City Dr S, Orange, CA 92868-3201 |
| Street Address |
101 THE CITY DR S |
| City | ORANGE |
| State | CA |
| Zip | 92868-3201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Safani | Psychiatry | The Department of Psychiatry | 101 The City Dr S, Orange, CA 92868-3201 |
| Ronald C Kim | Pathology | Regents of The University of California | 101 The City Dr S, Uci Dept of Pathology, Orange, CA 92868-3201 |
| Roger L Crumley | Otolaryngology | University Head and Neck Surgeons | 101 The City Dr S, Bldg 25, Orange, CA 92868-3201 |
| Scott E Rudkin | Emergency Medicine | Regents of The University Of | 101 The City Dr S, Orange, CA 92868-3201 |
| Paulo N Jusay | Nurse Practitioner | Uc Regents | 101 The City Dr S, Orange, CA 92868-3201 |
| David R Floriolli | Diagnostic Radiology | Uc Regents | 101 The City Dr S, Orange, CA 92868-3201 |
| Sara Rondinone Shive | Certified Registered Nurse Anesthetist (crna) | Regents of The University Of | 101 The City Dr S, Orange, CA 92868-3201 |
| Brandee M Baker | Certified Registered Nurse Anesthetist (crna) | Regents of The University Of | 101 The City Dr S, Orange, CA 92868-3201 |
| Neal Hermanowicz | Neurology | Regents of The University of Claifornia Univ Neursciences | 101 The City Dr S, Orange, CA 92868-3201 |
| Elen G Araya | Nurse Practitioner | Uc Regents | 101 The City Dr S, Orange, CA 92868-3201 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kauser V Sharieff | Optometry | 20 The Citydrive W, Suite 919, Orange, CA 92868 | |
| Feraidoun Khonsari | Urology | 1140 W La Veta, Suite 605, Orange, CA 92868 | |
| Eriny Ibrahim | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Allan Kwok | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Celeste T Vergara | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Robert Bax | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Alison Grace Ramos | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| April A Lopez | Chiropractic | 2029 W Orangewood Ave, Suite A, Orange, CA 92868-1951 | |
| Barry L Marks | Chiropractic | 1745 W Orangewood Ave, Suite 114, Orange, CA 92868-2041 | |
| Bernard Wasserman | Clinical Social Worker | 1745 W Orangewood, Suite 101, Orange, CA 92868-2041 | |
| Find all physicians in zip 92868 | |||
| City | ORANGE |
| Zip Code | 92868 |
| Specialty | UROLOGY |
| City + Specialty | ORANGE + UROLOGY |
Please comment or provide details below to improve the information on Pengbo Jiang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.