Individual provider Active NPI

Marta E Long, MD

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1205860509
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A0101009 Issued in CA
Practice address
19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407
Phone
(949) 237-2949
Fax
(682) 219-0893
NPI assigned
Jul 10, 2006
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A0101009 CA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A0101009 CA

Addresses

Primary practice location

19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407

Mailing address

PO Box 63524
Irvine, CA 92602-6116
Phone (949) 237-2949

Other practice location 1

1 League
Irvine, CA 92602-7204
Phone (949) 237-2949

Other practice location 2

19712 MacArthur Blvd
Suite #110
Irvine, CA 92612
Phone (949) 237-2949

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918003358 CA Practitioner - Internal MedicinePractitioner - Other (Physician) 6204831019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19712 Macarthur Blvd
Suite 110
Irvine, CA 92612-2407
Phone (949) 237-2949

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A0101009CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marta Long MD CurrentSince Jun 12, 2023 Accepting new patients

Locations

19712 MacArthur Blvd
Ste 110
Irvine, CA 92612
Phone (714) 725-9897

Interoperability endpoints

  • Direct secure messaging: martalongmd@martalongmd.officeally.direct

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1205860509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63524",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926026116",
            "telephone_number": "949-237-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19712 MACARTHUR BLVD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122407",
            "telephone_number": "949-237-2949",
            "fax_number": "682-219-0893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 League",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926027204",
            "country_code": "US",
            "telephone_number": "949-237-2949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19712 MacArthur Blvd",
            "address_2": "Suite #110",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "92612",
            "country_code": "US",
            "telephone_number": "949-237-2949",
            "fax_number": "682-219-0893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARTA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-05-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A0101009",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A0101009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.