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

Mr. Justin Jason Dy

Individual provider Registered Nurse First Assistant · NPI 1720119753

Mr. Justin Jason Dy is a Registered Nurse First Assistant in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1224 W Roseburg Ave A
Modesto, CA 95350-4981
Phone: (209) 569-0150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence 605577 (CA)

Record details

NPI number1720119753
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 8, 2007

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