NPIMap

Individual provider Active NPI

William T Long, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1023067055
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
G60239 Issued in CA
Practice address
1300 N Vermont Ave Ste 100
Los Angeles, CA 90027-6061
Phone
(323) 913-4300
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X G60239 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave Ste 100
Los Angeles, CA 90027-6061

Mailing address

1300 N Vermont Ave Ste 100
Los Angeles, CA 90027-6061
Phone (323) 913-4300

Other identifiers 1

IdentifierTypeStateIssuer
00G602390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001483 CA Practitioner - Orthopedic Surgery 2163313966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, San Diego School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacifica Foundation LLCGroup PAC ID 0648624718, 5 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (323) 627-4874

1300 N Vermont Ave
Suite 100
Los Angeles, CA 90027-6061
Phone (323) 913-4300

Hospital & facility affiliations

  • Home Rehabilitation Health Care Agency Home health agency, Inglewood, CA, CCN 058265
  • Nova Med Home Health Home health agency, Montrose, CA, CCN 559483
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G60239CAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence D. Dorr, M.D., Inc. Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
County of Los Angeles Past Accepting new patients
William Long, MD Adult Reconstructive Orthopaedic Surgery PastSince Mar 1, 1994 Accepting new patients
Michael J. Harris, M.D., Inc. Adult Reconstructive Orthopaedic Surgery Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pacificafoundation.williamlong@157113.advancedmd-direct.com
  • Direct secure messaging: williamtlong@direct.meditouchehr.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1023067055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276061",
            "telephone_number": "323-913-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276061",
            "telephone_number": "323-913-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "G60239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G602390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.