Individual provider Active NPI

Nina Maithi Long, DO

  • Neurology Physician
  • Thousand Oaks, CA
National Provider Identifier
1598384166
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20A20140 Issued in CA
Practice address
125 W Thousand Oaks Blvd Ste 300
Thousand Oaks, CA 91360-4460
Phone
(805) 418-9100
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20A20140 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

125 W Thousand Oaks Blvd Ste 300
Thousand Oaks, CA 91360-4460

Mailing address

1000 W Carson St # 492
Torrance, CA 90502-2059
Phone (310) 222-2345

Other practice location 1

1000 W Carson St # 492
Torrance, CA 90502-2059
Phone (310) 222-2345

Other practice location 2

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 416-4960

Other practice location 3

133 W Santa Clara St
Ventura, CA 93001-2543
Phone (805) 641-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nina.long@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424000455 CA Practitioner - Neurology 6406372341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince May 1, 2025 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince May 1, 2025 Accepting new patients

Locations

125 W Thousand Oaks Blvd
Ste 300
Thousand Oaks, CA 91360
Phone (805) 418-9100

800 S Victoria Ave
#L4640
Ventura, CA 93009

133 W Santa Clara St
Ventura, CA 93001
Phone (805) 641-5600

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1598384166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST # 492",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022059",
            "telephone_number": "310-222-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 300",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604460",
            "telephone_number": "805-418-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St # 492",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022059",
            "country_code": "US",
            "telephone_number": "310-222-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 N Indian Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624872",
            "country_code": "US",
            "telephone_number": "760-416-4960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 W Santa Clara St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930012543",
            "country_code": "US",
            "telephone_number": "805-641-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "NINA",
        "middle_name": "MAITHI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A20140",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nina.long@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "133 W Santa Clara St",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930012543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.