Individual provider Active NPI

William Hardy Longfellow, M.D.

  • Internal Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1669886545
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A169852 Issued in CA
Practice address
71780 San Jacinto Dr Ste H1
Rancho Mirage, CA 92270-5518
Phone
(760) 340-6777
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101262895 VA
Internal Medicine Physician 207R00000X A169852 CA Primary

Addresses

Primary practice location

71780 San Jacinto Dr Ste H1
Rancho Mirage, CA 92270-5518

Mailing address

71780 San Jacinto Dr Ste H1
Rancho Mirage, CA 92270-5518
Phone (760) 898-2963

Other practice location 1

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WHLMD@protonmail.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
I20221024002714 CA Practitioner - Internal Medicine 7214259217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus on Health IncGroup PAC ID 0648624254, 63 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169852CAMDInternal Medicine Physician
0101262895VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Hospitalist Associates Inc CurrentSince Oct 11, 2022 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Oct 7, 2024 Accepting new patients
Focus on Health Inc CurrentSince Mar 1, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Oct 7, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
William S. Longfellow, M.D., Inc. Internal Medicine CurrentSince Dec 27, 2020 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Nov 1, 2022 Accepting new patients

Locations

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

71780 San Jacinto Dr
Ste H1
Rancho Mirage, CA 92270
Phone (760) 340-6777

8765 Aero Dr
Ste 130
San Diego, CA 92123
Phone (858) 541-0181

8695 Spectrum Center Ct
San Diego, CA 92123
Phone (858) 499-3025

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

1840 West Dr
Vista, CA 92083
Phone (619) 205-4585

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: wlongfellow56746@syhealth.direct-ci.com
  • Direct secure messaging: wlongfellow65255@sharphealthcare.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1669886545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71780 SAN JACINTO DR STE H1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705518",
            "telephone_number": "760-898-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71780 SAN JACINTO DR STE H1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705518",
            "telephone_number": "760-340-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Lansdowne Ave",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231200",
            "country_code": "US",
            "telephone_number": "610-237-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGFELLOW",
        "first_name": "WILLIAM",
        "middle_name": "HARDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101262895",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A169852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WHLMD@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "71780 San Jacinto Dr Ste H1",
            "city": "Rancho Mirage",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922705518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.