Dr Joseph Longnecker

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

20A3180 Issued in CA

Legal business name

DR JOSEPH LONGNECKER

Practice address

1041 E Yorba Linda Blvd
306
Placentia, CA 92870-3728

Phone

(714) 577-9500

NPI assigned

Aug 14, 2012

Organization subpart

Yes

Parent organization

MEDVANTX INCAs reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP Ops

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• YORBA LINDA MEDICA CENTER Doing business as

Tax ID family

Dr Joseph Longnecker2 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Joseph M. Longnecker, D.O., Inc

  • Primary Care Clinic/Center
  • Placentia, CA
  • NPI 1124322656
  NPD tax ID

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1093062549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD",
            "address_2": "306",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703728",
            "telephone_number": "714-577-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOSEPH LONGNECKER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX INC",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OPS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "20A3180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YORBA LINDA MEDICA CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dain Dorsey
• Hailey Nicole Doucet
• Jeffrey Roger Dougal, OD
• Carole Adrienne Dougherty, R.N.
• Brian Phillip Doyle, M.D.
• Dr Kristin Rodriguez Medical Corporation
• Dr Lee Acupuncture
• Dr. Joseph M. Longnecker, D.O., Inc
• Edward S. Drake, D.O.
• Teresa Kay Duez, PPS CREDENTIAL

• Non-Pharmacy Dispensing Site in Placentia, CA
• Providers in Placentia, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.