Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin Lee Glancy, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1336868066

Dr. Justin Lee Glancy, DPM is a Podiatry in Loma Linda, California. Graduated from Kent State University College of Podiatric Medicine in 2025, 1 year ago. Practices with Coachella Valley Foot and Ankle Institute, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Trained at
Kent State University College of Podiatric Medicine
Licensed in
CA
In the registry since
2022
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11201 Benton St
Loma Linda, CA 92357-1000
Phone: (909) 825-7084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E6171 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence EL7061 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336868066
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 25, 2022
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2025 (1 years in practice)
Group practice Coachella Valley Foot And Ankle Institute — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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