Active NPI
Toni L Long M D a Medical Corporation
- Obstetrics & Gynecology Physician
- Santa Monica, CA
National Provider Identifier
1104127703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G65155
- Legal business name
- TONI L LONG M D A MEDICAL CORPORATION
- Practice address
- 2020 Santa Monica Blvd Ste 570
Santa Monica, CA 90404-2131 - Phone
- (310) 453-9289
- Fax
- (310) 453-2161
- NPI assigned
- Nov 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Monica M Wenzel
- Title
- Biller
- Phone
- (310) 915-9154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G65155 | CA | Primary |
Addresses
Primary practice location
2020 Santa Monica Blvd Ste 570
Santa Monica, CA 90404-2131
Mailing address
2020 Santa Monica Blvd Ste 570
Santa Monica, CA 90404-2131
Phone (310) 453-9289
National Provider Directory
National Provider DirectoryLocations
1301 20th St
Ste 100
Santa Monica, CA 90404
Phone (310) 208-3111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289520000000",
"number": "1104127703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 SANTA MONICA BLVD STE 570",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042131",
"telephone_number": "310-453-9289",
"fax_number": "310-453-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 SANTA MONICA BLVD STE 570",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042131",
"telephone_number": "310-453-9289",
"fax_number": "310-453-2161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TONI L LONG M D A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-12",
"last_updated": "2010-11-12",
"status": "A",
"authorized_official_last_name": "WENZEL",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "310-915-9154",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G65155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.