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

Justin Peter Spangler, PA

Individual provider Physician Assistant · NPI 1770056566

Justin Peter Spangler, PA is a Physician Assistant in Eureka, California. Qualified in 2018, 8 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, California, Nevada and New York.

Years since qualifying
8
Licensed in
AZ, CA, NV, NY
In the registry since
2019
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2700 Dolbeer St
Eureka, CA 95501-4736
Phone: (707) 269-4253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 350 N Wilmot Rd, Tucson, AZ 85711-2602 — (520) 296-3211
  • 707 E Main St, Middletown, NY 10940-2650 — (845) 333-3370

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7975 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 56456 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2082 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 025290 (NY)

Record details

NPI number1770056566
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 4, 2019
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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