JUSTIN LE DANG PA
NPI 1659172450
Student in an Organized Health Care Education/Training Program in Gold River, CA
About Justin Le Dang Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN LE DANG PA (NPI 1659172450) is an individual student in an organized health care education/training program in Gold River, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Le Dang Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLD RIVER, CA 95670
GOLD RIVER, CA 95670
GOLD RIVER, CA 95670
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 Dang's NPI number?
The NPI number for Justin Dang is 1659172450. It was assigned to this individual provider in the NPPES registry on March 19, 2025.
Where is Justin Dang located?
Justin Dang practices at 2485 Sunrise Blvd Ste A, Gold River, CA 95670. The listed phone number is (916) 642-1867.
What is Justin Dang's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Justin Dang enrolled in Medicare?
Yes. Justin Dang is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Justin Dang was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Justin Le Dang, PA · NPI 1659172450
Student in an Organized Health Care Education/Training Program provider in Gold River, California. Individual provider, active in the CMS NPPES registry since March 19, 2025.
## Identity
- **NPI:** 1659172450 (Entity type: Individual)
- **Enumerated:** March 19, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2485 SUNRISE BLVD STE A, Gold River, CA 95670-4344
- **Phone:** (916) 642-1867
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1659172450) · Data from the CMS NPPES public registry.