BOWEN JIANG (M.D.) – Neurological Surgery Physician, NPI 1053682971

BOWEN JIANG (M.D.) is a healthcare provider. based in Fullerton, California. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. D0082850 (MD). The NPI Number for BOWEN JIANG (M.D.) is 1053682971

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
BOWEN JIANG (M.D.)
NPI
1053682971
Phone
(714) 734-3120
Address
100 E VALENCIA MESA DR STE 310
Enumeration Date
24 January 2012
Last Update Date
3 November 2021

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7144496900
Graduation Year
2013 (13 years ago)
PAC ID
7416198874
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20200806000741
Address ID
CA928213814BR955XXHWYX401
Telehealth
Yes

Contacts

Secure Messaging
bjiang1374411@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

795 NEUROSURGERY in CA

Provider Addresses for BOWEN JIANG (M.D.)

  • 100 E VALENCIA MESA DR STE 310

    FULLERTON, CA 928353800

    Phone: (714) 734-3120

    Type: Mailing

  • 100 E VALENCIA MESA DR

    FULLERTON, CA 928353813

    Phone: (714) 734-3120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 119 Open Payments records for all available years, with a total value of $43,715.

Total Amount is formed as General ($43,715) + Research ($0) + Ownership ($0) = $43,715.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Globus Medical, Inc. ($31,061).

Total Amount

$43,715

General + Research + Ownership

Payments

119

Total payment records

General Amount

$43,715

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170608002221INeurosurgeryMDTBD
I20200806000741INeurosurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes6868$0
99213Established patient office or other outpatient visit, 20-29 minutes6865$0
99203New patient office or other outpatient visit, 30-44 minutes5353$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment3620$0
22614Fusion of additional segment of spine3313$0
View full utilization report →

Insurance plans in this area (ZIP 92835)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921993205View full group profile

Reviews

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Frequently asked questions

What number should I use to identify BOWEN JIANG (M.D.) for billing?
Administrative and clinical systems typically use NPI 1053682971 for BOWEN JIANG (M.D.).
Should I treat BOWEN JIANG (M.D.) as an active provider?
Patients and plans typically see BOWEN JIANG (M.D.) as active in the national extract.
What services align with BOWEN JIANG (M.D.)'s listing?
BOWEN JIANG (M.D.)'s public classification highlights Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit BOWEN JIANG (M.D.) in Fullerton, California?
For routing, start with Fullerton, California for BOWEN JIANG (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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