NPIMap

Individual provider Active NPI

Wen Long, MD

  • Surgery Physician
  • Sacramento, CA
National Provider Identifier
1316064546
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A113444 Issued in CA
Practice address
8100 Bruceville Rd
Sacramento, CA 95823-2353
Phone
(916) 455-8666
Fax
(916) 714-6677
NPI assigned
Mar 23, 2007
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A113444 CA Primary

Addresses

Primary practice location

8100 Bruceville Rd
Sacramento, CA 95823-2353

Mailing address

3511 Del Paso Road
Suite 160, PMB 226
Sacramento, CA 95835
Phone (916) 455-8666

Other practice location 1

3939 J St Ste 340
Sacramento, CA 95819-3666
Phone (916) 455-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027001330 CA Practitioner - General Surgery 7214037407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3939 J St
Sacramento, CA 95819-3666
Phone (916) 455-8666

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113444CAMDMarriage & Family Therapist
A113444CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cabell Huntington Hospital Inc Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter Regional Medical Foundation Surgery Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
St Marys Medical Center, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: long.wen.001.0050356@wwwic.meditab.direct-ci.com
  • Direct secure messaging: wlong136908@hisp.ehr.sutterhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1316064546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 DEL PASO ROAD",
            "address_2": "SUITE 160, PMB 226",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95835",
            "telephone_number": "916-455-8666",
            "fax_number": "916-714-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 BRUCEVILLE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232353",
            "telephone_number": "916-455-8666",
            "fax_number": "916-714-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 J St Ste 340",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193666",
            "country_code": "US",
            "telephone_number": "916-455-8666",
            "fax_number": "916-714-6677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "WEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A113444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.