JUSTIN LE DANG PA
NPI 1659172450
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 19, 2025PECOS Enrolled
6400 FOLSOM BLVD APT 428, SACRAMENTO, CA 95819(415) 939-5344 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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 Sacramento, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659172450
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN LE DANGCredential: PA
Location Address6400 FOLSOM BLVD APT 428Sacramento, CA 95819-4649
Mailing Address6400 Folsom Blvd Apt 428Sacramento, CA 95819-4649 · (415) 939-5344
Sole ProprietorNo
Enumeration DateMarch 19, 2025
Last NPPES UpdateMarch 22, 2025
NPPES CertifiedMarch 22, 2025
NPI 1659172450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6400 FOLSOM BLVD APT 428, Sacramento, CA 95819

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).

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.

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 6400 Folsom Blvd Apt 428, Sacramento, CA 95819. The listed phone number is (415) 939-5344.

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 March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.