Patricia Ann Long, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

134554 Issued in CA

Practice address

2801 Atlantic Ave
Long Beach, CA 90806-1701

Phone

(562) 933-3716

Fax

(562) 933-3365

NPI assigned

Dec 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1366817876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E BORT ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908052235",
            "telephone_number": "562-933-3716",
            "fax_number": "568-933-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-3716",
            "fax_number": "562-933-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "134554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Te Long, RN, MSN, CPNP
• Mary Long, DACM, LAC
• Marygrace Long
• Matthew Thomas Long, D.O.
• Nay Long
• Simon Longoria
• Ashley Rose Longshore, PT, DPT
• Tiffany Longson
• John-Charles Aiona Loo
• Anita Loos-Hannifan, NP

• Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.