Linda Marie Long, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95000750 Issued in CA

Practice address

187 Avenida la Pata
San Clemente, CA 92673-6307

Phone

(949) 528-4758

Fax

(949) 288-0432

NPI assigned

Feb 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Align Health Nursing Inc

  • General Practice Physician
  • San Clemente, CA
  • NPI 1740042670

  CA

  Medicare reassignment NPD Authorized official
• Direct Medical Ventures Inc.

  • Emergency Medicine Physician
  • Laguna Hills, CA
  • NPI 1831700046

  CA

  Medicare reassignment NPD
• Antelope Valley Neuroscience

  • Neurology Physician
  • Lancaster, CA
  • NPI 1114912979

  Family

  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1104094937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73236",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926730107",
            "telephone_number": "949-528-4758",
            "fax_number": "949-288-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 AVENIDA LA PATA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736307",
            "telephone_number": "949-528-4758",
            "fax_number": "949-288-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER (PTAN)",
            "identifier": "CA131622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Rose Cynthia Lisauskas, LMFT, MA
• Sarah Kristine Little, PTA
• Colby Margaux Livingston, D.D.S.
• Sydney Loge
• Lisa Beth Lombardi, FNP, RN, BSN, BA, LE
• Francesca Longobardo, PA-C
• Alicia Lopez
• Ethan Timothy Lopez, DC
• Kimberly Ann Lopez, MS, OTR/L
• Sydney Lovejoy

• All providers in San Clemente, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.