Individual provider Active NPI

Billy Mikel Long, D.C.

  • Chiropractor
  • Calabasas, CA
National Provider Identifier
1679627459
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27936 Issued in CA
Practice address
24007 Ventura Blvd
Suite 130
Calabasas, CA 91302-2568
Phone
(818) 591-8847
Fax
(818) 591-0549
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27936 CA Primary

Addresses

Primary practice location

24007 Ventura Blvd
Suite 130
Calabasas, CA 91302-2568

Mailing address

24009 Ventura Blvd
Ste 235
Calabasas, CA 91302-1423
Phone (818) 591-8847

Other identifiers 3

IdentifierTypeStateIssuer
DC27936OtherCALICENSE #
202344792OtherCATAX ID #
ZZZ64988ZOtherCABC-BS GROUP ID#

Other names 1

  • Billy Long Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000357 CA Practitioner - Chiropractic 1456397009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Chiropractic Professional CorporationGroup PAC ID 6002852654, 2 clinicians

Practice addresses (Care Compare)

1000 Paseo Camarillo
Suite 118
Camarillo, CA 93010-0722
Phone (805) 482-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27936CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Long Chiropractic Professional Corporation Chiropractor CurrentSince Nov 22, 2015 Accepting new patients
Jensen Sports Chiropractic Inc. Chiropractor CurrentSince Dec 14, 2015 Accepting new patients

Locations

24009 Ventura Blvd
Ste 235
Calabasas, CA 91302
Phone (818) 591-8847

24007 Ventura Blvd
Ste 130
Calabasas, CA 91302
Phone (818) 591-8847

1000 Paseo Camarillo
Ste 118
Camarillo, CA 93010
Phone (805) 419-4234

Organizations & group practices 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1679627459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24009 VENTURA BLVD",
            "address_2": "STE 235",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021423",
            "telephone_number": "818-591-8847",
            "fax_number": "818-591-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24007 VENTURA BLVD",
            "address_2": "SUITE 130",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022568",
            "telephone_number": "818-591-8847",
            "fax_number": "818-591-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BILLY",
        "middle_name": "MIKEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "DC27936",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "202344792",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS GROUP ID#",
            "identifier": "ZZZ64988Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLY",
            "last_name": "LONG",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.