Jeanine Michelle Long

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

1450 Chapin Ave
Burlingame, CA 94010-4062

Phone

(650) 348-6603

NPI assigned

Jul 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1275811408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CHAPIN AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPIN AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104062",
            "telephone_number": "650-348-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JEANINE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yatming Liu
• Live-at-Home Care Connection
• Jennifer Shin-Ying Lo, O.D.
• Jessica L Lodder, P.T.
• Ante Loncar
• Longs Drug Stores California LLC
• Sandra A Lopez Zarate
• Jennifer Noemi Lopez-Salas
• Diana Alise Lopez, LCSW
• Los Gatos Therapy Center

• Substance Abuse Rehabilitation Facility in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.