Active NPI
Nina Maithi Long, DO
- Neurology Physician
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20A20140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Ventura | Current | Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| County of Ventura | Current | 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.
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
-
dba Conejo Valley Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
-
dba VCBH - Simi Valley Youth & Family Mental Health
- Community/Behavioral Health Agency
- Simi Valley, CA
- NPI 1609098243
-
- Public Health & General Preventive Medicine Physician
- Oxnard, CA
- NPI 1962931477
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
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
- Lombard United Drug Co Inc (Lombard Pharmacy)
- Michael Lombardo
- Felix Maria Lomeli
- Jessica Lomeli
- Amy Long Carrera, MS, RD
- Longs Drug Stores California LLC (CVS Pharmacy #03934)
- Longs Drug Stores California LLC (CVS Pharmacy #09241)
- Innokenty Loon
- Andrea Ciampolini Lopasso, DPT
- Mary Janett Lopez-Inayama, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.