Basic Information
Provider Information
NPI: 1104003516
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIAN
FirstName: JIA-YI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 937 E MAIN ST
Address2: BELL AND RUST, SUITE 201
City: SANTA MARIA
State: CA
PostalCode: 934545323
CountryCode: US
TelephoneNumber: 8059221739
FaxNumber: 8059224197
Practice Location
Address1: 1400 E CHURCH ST
Address2: MARIAN REGIONAL MEDICAL CENTER
City: SANTA MARIA
State: CA
PostalCode: 934545906
CountryCode: US
TelephoneNumber: 8057393759
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/28/2008
LastUpdateDate: 01/13/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X20A9320CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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