Individual provider Active NPI

Joseph Milton Longnecker, D.O.

  • Pediatrics Physician
  • Placentia, CA
National Provider Identifier
1326049263
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A3180 Issued in CA
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

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
B58230CAMDFamily Medicine Physician
20A3180CAMDPediatrics Physician
3180CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.