Active NPI
Justin Long, D.C.
- Chiropractor
- Riverside, CA
National Provider Identifier
1336145267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 28576
- Practice address
- 11498 Pierce St
Ste B
Riverside, CA 92505-3308 - Phone
- (951) 354-6294
- Fax
- (951) 354-6295
- NPI assigned
- Jun 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 28576 | CA | Primary |
Addresses
Primary practice location
11498 Pierce St
Ste B
Riverside, CA 92505-3308
Mailing address
24841 Springbrook Way
Menifee, CA 92584-7542
Phone (951) 672-9682
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28576 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acosta Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Riverside, CA
- NPI 1376783399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336145267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24841 SPRINGBROOK WAY",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925847542",
"telephone_number": "951-672-9682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11498 PIERCE ST",
"address_2": "STE B",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053308",
"telephone_number": "951-354-6294",
"fax_number": "951-354-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "28576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.