Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bowen Jiang, MD

Individual provider Neurological Surgery Physician · NPI 1053682971

Bowen Jiang, MD is a Neurosurgery in Fullerton, California. Graduated from Stanford University School of Medicine in 2013, 13 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Maryland.

Years since qualifying
13
Trained at
Stanford University School of Medicine
Licensed in
CA, MD
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 E Valencia Mesa Dr
Fullerton, CA 92835-3813
Phone: (714) 734-3120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence A168233 (CA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence D0082850 (MD)

Record details

NPI number1053682971
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 24, 2012
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021
Mailing address100 E Valencia Mesa Dr Ste 310, Fullerton, CA 92835-3800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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