Individual provider Active NPI

Christopher Patrick Long, MD

  • Ophthalmology Physician
  • Pasadena, CA
National Provider Identifier
1023634516
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A182745 Issued in CA
Practice address
10 Congress St Ste 340
Pasadena, CA 91105-3020
Phone
(626) 796-5325
NPI assigned
Jun 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A182745 CA Primary

Addresses

Primary practice location

10 Congress St Ste 340
Pasadena, CA 91105-3020

Mailing address

1308 E Colorado Blvd # 2298
Pasadena, CA 91106-1932
Phone (916) 396-0699

Other practice location 1

4560 E Cesar E Chavez Ave
Los Angeles, CA 90022-1168
Phone (323) 980-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718004911 CA Practitioner - Ophthalmology 6204217524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pasadena Eye Medical GroupGroup PAC ID 4688601826, 4 clinicians
Paul T Urrea M D M P H IncGroup PAC ID 9638130735, 7 clinicians

Practice addresses (Care Compare)

10 Congress St
Suite 340
Pasadena, CA 91105-3020
Phone (626) 796-5325

900 S Atlantic Blvd
Monterey Park, CA 91754-4716
Phone (626) 570-9000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A182745CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul T Urrea M D M P H Inc Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
Pasadena Eye Medical Group Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Pasadena Eye Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients

Locations

4560 E Cesar E Chavez Ave
Los Angeles, CA 90022
Phone (323) 269-0411

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

10 Congress St
Ste 340
Pasadena, CA 91105
Phone (626) 796-5325

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: clong503756@direct.cshs.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1023634516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E COLORADO BLVD # 2298",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061932",
            "telephone_number": "916-396-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 340",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053020",
            "telephone_number": "626-796-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4560 E Cesar E Chavez Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900221168",
            "country_code": "US",
            "telephone_number": "323-980-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHRISTOPHER",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A182745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.