DR. JUSTIN LEE GLANCY DPM
NPI 1336868066
Podiatrist - Foot & Ankle Surgery in Loma Linda, CA

Q: What is Justin Glancy's NPI number?

The NPI number for Justin Glancy is 1336868066. It was assigned to this individual provider in the NPPES registry on August 25, 2022. The provider is also known as Dr. Justin Lee Glancy Dpm.

Q: What is Justin Glancy's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Justin Glancy was last updated on August 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 25, 2022PECOS EnrolledAccepts Medicare Assignment

11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2022, Aug 25, 2022 (2 updates tracked since 2022).

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About Dr. Justin Lee Glancy Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN LEE GLANCY DPM (NPI 1336868066) is an individual foot & ankle surgery provider in Loma Linda, California, licensed in California (E6171) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2025).

NPPES Registry Identity

NPI1336868066

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. JUSTIN LEE GLANCYCredential: DPM

Location Address11201 BENTON STLoma Linda, CA 92357-1000

Mailing Address74000 Country Club DrPalm Desert, CA 92260-1685 · (909) 825-7084

Phone(909) 825-7084

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2025

Enumeration DateAugust 25, 2022

Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration

NPPES CertifiedAugust 27, 2025

✔ NPI 1336868066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in CA · E6171✔ Licensed in CA · EL7061

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11201 BENTON ST, Loma Linda, CA 92357

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Other Names 1

Professional Name (2)Dr. Justin Lee Glancy Dpm

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Lee Glancy Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759886013

PECOS Enrollment IDI20250926000778

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.

Radiology (Diagnostic Radiology)

11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357

San Bernardino County (909) 825-7084

JUNGMI LEE LCSW

Social Worker (Clinical)