Provider Demographics
NPI:1104003516
Name:BIAN, JIA-YI (DO)
Entity Type:Individual
Prefix:DR
First Name:JIA-YI
Middle Name:
Last Name:BIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 E MAIN ST
Mailing Address - Street 2:BELL AND RUST, SUITE 201
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5323
Mailing Address - Country:US
Mailing Address - Phone:805-922-1739
Mailing Address - Fax:805-922-4197
Practice Address - Street 1:1400 E CHURCH ST
Practice Address - Street 2:MARIAN REGIONAL MEDICAL CENTER
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5906
Practice Address - Country:US
Practice Address - Phone:805-739-3759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9320207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology