Charles Thoms Longo, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A35521 Issued in CA

Practice address

4250 H St
Suite 3
Sacramento, CA 95819-3441

Phone

(916) 456-8756

Fax

(916) 456-1542

NPI assigned

Apr 13, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073738365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 H ST",
            "address_2": "SUITE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193441",
            "telephone_number": "916-456-8756",
            "fax_number": "916-456-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 H ST",
            "address_2": "SUITE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193441",
            "telephone_number": "916-456-8756",
            "fax_number": "916-456-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "CHARLES",
        "middle_name": "THOMS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A35521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Longenecker, RN
• Robert W Longenecker, CRNA
• Amber Lynn Longhitano
• Edlira Longhurst, M.A
• Lauren Longmire
• James Longoria, M.D.
• Longs Drug Stores California Inc (Longs Drug Store)
• Longs Drug Stores California LLC (CVS Pharmacy #04151)
• Longs Drug Stores California LLC (CVS Pharmacy #09972)
• Longs Drug Stores California LLC (CVS Pharmacy #03066)

• Plastic and Reconstructive Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.