Andrea Road-Traveler Longoria

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

518 Low Gap Rd
Ukiah, CA 95482-3735

Phone

(707) 463-4968

NPI assigned

Oct 15, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Mendocino

  • Community/Behavioral Health Agency
  • Ukiah, CA
  • NPI 1649468968
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1003005190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LOW GAP RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823735",
            "telephone_number": "707-463-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 LOW GAP RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823735",
            "telephone_number": "707-463-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "ANDREA",
        "middle_name": "ROAD-TRAVELER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequoia Lockhart, RN
• Frederick A Lodge, M.D.
• Alicia J Logan, MHRS
• Samuel Logan
• Victor Loi, PHARMD
• Longs Drug Stores California LLC
• Hayde Lopez
• Heather Lopez
• Maya Lopez
• Ricardo Lopez

• Case Manager/Care Coordinator in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.