JUSTIN FANG
NPI 1538793526
Dentist - Endodontics in Livermore, CA

Active since February 27, 2020PECOS Enrolled
999 E STANLEY BLVD STE C, LIVERMORE, CA 94550(925) 258-8450 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2023, Feb 27, 2020 (2 updates tracked since 2020).

About Justin Fang NPPES

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

JUSTIN FANG (NPI 1538793526) is an individual endodontics provider in Livermore, California, licensed in California (108877) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538793526
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameJUSTIN FANG
Location Address999 E STANLEY BLVD STE CLivermore, CA 94550-4050
Mailing Address999 E Stanley Blvd Ste CLivermore, CA 94550-4050 · (925) 258-8450
Sole ProprietorYes
Enumeration DateFebruary 27, 2020
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1538793526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in CA · 108877
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 108877 (CA)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 37055 (TX)
999 E STANLEY BLVD STE C, Livermore, CA 94550

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justin Fang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Dentist (Periodontics)
999 E STANLEY BLVD STE C
LIVERMORE, CA 94550
Dentist (Endodontics)
999 E STANLEY BLVD STE C
LIVERMORE, CA 94550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Fang's NPI number?

The NPI number for Justin Fang is 1538793526. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Justin Fang located?

Justin Fang practices at 999 E Stanley Blvd Ste C, Livermore, CA 94550. The listed phone number is (925) 258-8450.

What is Justin Fang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Justin Fang enrolled in Medicare?

Yes. Justin Fang is registered in the Medicare PECOS enrollment system.

What insurance does Justin Fang accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Justin Fang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Fang was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.