Active NPI
Joseph Milton Longnecker, D.O.
- Pediatrics Physician
- Placentia, CA
National Provider Identifier
1326049263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A3180
- Practice address
- 1041 E. Yorba Linda Blvd.
Suite 306
Placentia, CA 92870-0000 - Phone
- (714) 577-9500
- Fax
- (714) 577-9504
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | B58230 | CA | |
| Pediatrics Physician | 208000000X | 20A3180 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 20A3180 | CA |
Addresses
Primary practice location
1041 E. Yorba Linda Blvd.
Suite 306
Placentia, CA 92870-0000
Mailing address
1041 E. Yorba Linda Blvd.
Suite 306
Placentia, CA 92870-0000
Phone (714) 577-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B58230 | CA | MD | Family Medicine Physician |
| 20A3180 | CA | MD | Pediatrics Physician |
| 3180 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fullerton GYN Assoc. | Past | Accepting new patients | |
| First Choice Physician Partners | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1912264862
Family Medicine
-
- Gynecology Physician
- Fullerton, CA
- NPI 1780752659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1326049263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 E. YORBA LINDA BLVD.",
"address_2": "SUITE 306",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928700000",
"telephone_number": "714-577-9500",
"fax_number": "714-577-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 E. YORBA LINDA BLVD.",
"address_2": "SUITE 306",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928700000",
"telephone_number": "714-577-9500",
"fax_number": "714-577-9504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGNECKER",
"first_name": "JOSEPH",
"middle_name": "MILTON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "B58230",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A3180",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A3180",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.