John B Long MD a Professional Corp

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G40974 Issued in CA

Legal business name

JOHN B LONG MD A PROFESSIONAL CORP

Practice address

3838 California St RM 612
San Francisco, CA 94118-1508

Phone

(415) 750-3887

Fax

(415) 221-7052

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John B Long, MD

Title

Ceo

Phone

(415) 750-3887

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1386711455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST RM 612",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181508",
            "telephone_number": "415-750-3887",
            "fax_number": "415-221-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST RM 612",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181508",
            "telephone_number": "415-750-3887",
            "fax_number": "415-221-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B LONG MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-750-3887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G40974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.