Individual provider Active NPI

Robin Longley, M.D.

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1104265206
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME129204 Issued in FL
Practice address
13856 N Dale Mabry Hwy
Tampa, FL 33618-2420
Phone
(813) 264-1885
Fax
(813) 968-6438
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME129204 FL Primary

Addresses

Primary practice location

13856 N Dale Mabry Hwy
Tampa, FL 33618-2420

Mailing address

13856 N Dale Mabry Hwy
Tampa, FL 33618-2420
Phone (813) 264-1885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414003599 CA Practitioner - Family Practice 6507169208 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129204FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc. Family Medicine Current Accepting new patients
Anaheim Urgent Care, Inc. CurrentSince Nov 29, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Mar 7, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 7, 2020 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Nov 29, 2023 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

35 W Los Angeles Ave
Moorpark, CA 93021
Phone (805) 529-5370

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811

Organizations & group practices 7

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1104265206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13856 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182420",
            "telephone_number": "813-264-1885",
            "fax_number": "813-968-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13856 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182420",
            "telephone_number": "813-264-1885",
            "fax_number": "813-968-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGLEY",
        "first_name": "ROBIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME129204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.