Active NPI
Anthony William Longo, LMT
- Massage Therapist
- Santa Rosa, CA
National Provider Identifier
1649885310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 71075
- Practice address
- 801 7TH St
Santa Rosa, CA 95404-4213 - Phone
- (415) 855-5699
- NPI assigned
- Sep 10, 2020
- Last updated
- Sep 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 71075 | CA | Primary |
Addresses
Primary practice location
801 7TH St
Santa Rosa, CA 95404-4213
Mailing address
801 7TH St
Santa Rosa, CA 95404-4213
Phone (415) 855-5699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71075 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1649885310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 7TH ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044213",
"telephone_number": "415-855-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 7TH ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044213",
"telephone_number": "415-855-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGO",
"first_name": "ANTHONY",
"middle_name": "WILLIAM",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "71075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
- Lomi School Foundation (Lomi Psychotherapy Clinic)
- Jenna Claire Long
- Matthew Long
- Carla Price Longchamp, M.D.
- Liz Longfellow
- Longs Drug Stores California LLC (CVS Pharmacy #09656)
- Longs Drug Stores California LLC (CVS Pharmacy #09948)
- Longs Drug Stores California LLC (CVS Pharmacy #09946)
- Longs Drug Stores California LLC (CVS Pharmacy #09393)
- Tyler Loos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.