Individual provider Active NPI

Megan J Long, MD

  • Emergency Medicine Physician
  • Whittier, CA
National Provider Identifier
1639344005
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A111832 Issued in CA
Practice address
12401 Washington Blvd
Iemg Office
Whittier, CA 90602
Phone
(562) 698-0811
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A111832 CA Primary

Addresses

Primary practice location

12401 Washington Blvd
Iemg Office
Whittier, CA 90602

Mailing address

12401 Washington Blvd
Iemg Office
Whittier, CA 90602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100607000063 CA Practitioner - Emergency Medicine 2062553605 Reassigns benefits to 3 organizations
I20211105001536 AZ Practitioner - Emergency Medicine 2062553605 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111832CAMDDentist
A111832CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Emergency Medicine Specialists PC Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
St Jude Emergency Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
HMH Emergency Medical Group, Inc. Emergency Medicine CurrentSince Sep 8, 2010 Accepting new patients
Intercommunity Emergency Medical Group Emergency Medicine CurrentSince Jun 1, 2010 Accepting new patients
Boston Emergency Physician Foundation, Inc. Emergency Medicine Past Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

12401 Washington Blvd
Ofc
Whittier, CA 90602

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1639344005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "address_2": "IEMG OFFICE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "address_2": "IEMG OFFICE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90602",
            "telephone_number": "562-698-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MEGAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A111832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.