DR. JUSTIN SRITHONGRUNG DDS
NPI 1629430442
Dentist - General Practice in Arcadia, CA

Q: What is Justin Srithongrung's NPI number?

The NPI number for Justin Srithongrung is 1629430442. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Justin Srithongrung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 22, 2016PECOS Enrolled

2030 S BALDWIN AVE, ARCADIA, CA 91007(626) 551-8355 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Mar 22, 2016 (2 updates tracked since 2016).

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About Dr. Justin Srithongrung Dds NPPES

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

DR. JUSTIN SRITHONGRUNG DDS (NPI 1629430442) is an individual general practice provider in Arcadia, California, licensed in California (DDS101888) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1629430442

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JUSTIN SRITHONGRUNGCredential: DDS

Location Address2030 S BALDWIN AVEArcadia, CA 91007-8155

Mailing Address2030 S Baldwin AveArcadia, CA 91007-8155

Phone(626) 551-8355

Sole ProprietorNo

Enumeration DateMarch 22, 2016

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1629430442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · DDS101888

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License DDS101888 (CA)

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

2030 S BALDWIN AVE, Arcadia, CA 91007

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Secondary Practice Location 1

Location 1290 N Wayte Ln Ste 2500Fresno, CA 93701-2124 · Phone (559) 459-5725

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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)

Dr. Justin Srithongrung Dds 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 91007 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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 Srithongrung's NPI number?

The NPI number for Justin Srithongrung is 1629430442. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Justin Srithongrung located?

Justin Srithongrung practices at 2030 S Baldwin Ave, Arcadia, CA 91007. The listed phone number is (626) 551-8355.

What is Justin Srithongrung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Justin Srithongrung enrolled in Medicare?

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

What insurance does Justin Srithongrung accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Justin Srithongrung 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 Srithongrung was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.