Active NPI
Giovanni Antonio Longo
- Physical Therapy Assistant
- Rancho Mirage, CA
National Provider Identifier
1720786346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10371
- Practice address
- 39950 Vista del Sol
Rancho Mirage, CA 92270-3206 - Phone
- (760) 340-0053
- NPI assigned
- Feb 22, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 10371 | CA | Primary |
Addresses
Primary practice location
39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Mailing address
40288 Orchidtree CT
Palm Desert, CA 92260-2334
Phone (760) 601-5084
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1720786346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40288 ORCHIDTREE CT",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602334",
"telephone_number": "760-601-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39950 VISTA DEL SOL",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703206",
"telephone_number": "760-340-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGO",
"first_name": "GIOVANNI",
"middle_name": "ANTONIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "10371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
- Daniel Logsdon, MD
- Lombardo Surgical, Inc.
- Maria Anne Lombardo, DO
- William Hardy Longfellow, M.D.
- William Steven Longfellow, M.D.
- Longs Drug Stores California LLC (CVS Pharmacy #09153)
- Lopez Anesthesia Services a Medical Corporation
- Carlos A Lopez, M.D.,M.P.H.
- Carolyn Maria Lopez, PHD
- Jamie Lynn Lopez, BEHAVIOR THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.