Organization Active NPI

Long Chiropractic Professional Corporation

Doing business as Community Chiropractic Centre

  • Chiropractor
  • Calabasas, CA
National Provider Identifier
1205980067
Registry record updated Jul 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27936 Issued in CA
Legal business name
LONG CHIROPRACTIC PROFESSIONAL CORPORATION
Doing business as
Community Chiropractic Centre
Practice address
24007 Ventura Blvd
Suite 130
Calabasas, CA 91302-2568
Phone
(818) 591-8847
Fax
(818) 591-0549
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2011

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

Authorized official

Name
Billy Mikel Long, D.CNPI 1679627459
Title
Owner
Phone
(818) 591-8847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27936 CA Primary

Addresses

Primary practice location

24007 Ventura Blvd
Suite 130
Calabasas, CA 91302-2568

Mailing address

24007 Ventura Blvd
Suite 130
Calabasas, CA 91302-2568
Phone (818) 591-8847

Other names 1

  • Community Chiropractic Centre Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050705000726 CA Part B Supplier - Clinic/Group Practice 6002852654 Receives reassigned benefits from 2 practitioners
Practice locations: Calabasas, CA; Camarillo, CA

National Provider Directory

National Provider Directory

Locations

24007 Ventura Blvd
Ste 130
Calabasas, CA 91302
Phone (818) 591-8847

24009 Ventura Blvd
Ste 235
Calabasas, CA 91302
Phone (818) 591-8847

23317 Mulholland Dr
Woodland Hls, CA 91364
Phone (818) 224-4034

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310860800000",
    "number": "1205980067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24007 VENTURA BLVD",
            "address_2": "SUITE 130",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022568",
            "telephone_number": "818-591-8847",
            "fax_number": "818-591-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24007 VENTURA BLVD",
            "address_2": "SUITE 130",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022568",
            "telephone_number": "818-591-8847",
            "fax_number": "818-591-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-07-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "MIKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-591-8847",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Chiropractic Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.