MRS. JEANNI CLANCEY LANG NPI 1356469985

NPI Information

  • NPI: 1356469985
  • Provider Name: MRS. JEANNI CLANCEY LANG
  • Classification: Orthotic Fitter - 225000000X
  • Entity Type: Individual
  • Address: 612 D ST
    SAN RAFAEL, CA
    ZIP 94901
  • Phone: (415) 454-6058

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NPI Details

MRS. Jeanni Clancey Lang is an orthotic fitter in San Rafael, CA. The provider is an individual trained in the management of fitting prefabricated orthoses. MRS. Jeanni Clancey Lang NPI is 1356469985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

612 D ST
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 454-6058
Fax: (415) 454-6078

The enumeration date for this NPI number is 3/26/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225000000XOrthotic FitterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10588970001MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2CFM00640OTHERCALIFORNIAABC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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