Phillip A. Long

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN95244639 Issued in CA

Practice address

315 Camino del Remedio
Santa Barbara, CA 93110-1332

Phone

(805) 681-5190

NPI assigned

Aug 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1295463735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 CALAVO RD SPC 26",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920284420",
            "telephone_number": "916-737-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CAMINO DEL REMEDIO",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101332",
            "telephone_number": "805-681-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PHILLIP",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95244639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "315 Camino Del Remedio",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931101332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Loman, RDN, CNSC
• Brahm L Long
• Keriann Long, LMFT
• Maria Wenona Long, AMFT
• Natalie Long
• Cecily Longo
• Perie Jane Longo, PH.D
• Longs Drug Stores California LLC (CVS Pharmacy #09824)
• Longs Drug Stores California LLC (CVS Pharmacy #09335)
• Longs Drug Stores California LLC (CVS Pharmacy #09567)

• Registered Nurse in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.