Active NPI
Marta E Long, MD
- Internal Medicine Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A0101009
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| A0101009 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marta Long MD | Current | Accepting new patients |
Locations
19712 MacArthur Blvd
Ste 110
Irvine, CA 92612
Phone (714) 725-9897
Interoperability endpoints
- 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.
-
- Primary Care Clinic/Center
- Irvine, CA
- NPI 1205401387
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.