Active NPI
Katharine Christina Long, M.D
- Pediatric Emergency Medicine (Pediatrics) Physician
- Madera, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- MD452181
- Practice address
- 9300 Valley Childrens PL
Valley Children's Hospital
Madera, CA 93636-8761 - Phone
- (717) 586-0629
- NPI assigned
- Mar 1, 2012
- Last updated
- Jul 12, 2016
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A119576 | CA | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | MD452181 | PA | Primary |
Addresses
Primary practice location
9300 Valley Childrens PL
Valley Children's Hospital
Madera, CA 93636-8761
Mailing address
1830 N Sanders Ave
Clovis, CA 93619-2010
Phone (717) 586-0629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A119576 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Multicare Health System | Family Medicine | Past | Accepting new patients |
| Valley Children's Hospital | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
Interoperability endpoints
- klong76140@valleychildrens-prd.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Tacoma General/Allenmore ER Dept
- Multi-Specialty Clinic/Center
- Tacoma, WA
- NPI 1952356404
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
-
dba Mary Bridge Children's Hospital
- Children's Hospital
- Tacoma, WA
- NPI 1306952726
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1326093873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1639443104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 N SANDERS AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936192010",
"telephone_number": "717-586-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL",
"address_2": "VALLEY CHILDREN'S HOSPITAL",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "717-586-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "KATHARINE",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A119576",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "PA",
"license": "MD452181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
- Arianna Llamas, PSY.D.
- Christina Marie Llanes
- Jamirah Anne Furagganan Llanes
- Kristin Leann Lokey, LCSW
- Stepheny Lomeli Ballesteros
- Megan Long
- Longs Drug Stores California LLC (CVS Pharmacy #09986)
- Longs Drug Stores California LLC (CVS Pharmacy #09159)
- Kamela Loo, CFNP
- Marcos De Jesus Lopez Alvarez, M.A., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.