Matthew Douglass Longacre, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A111961 Issued in CA

Practice address

1200 N State St
Los Angeles, CA 90033-1029

Phone

(323) 264-7600

NPI assigned

Apr 22, 2010

Last updated

Aug 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Orthopedic Surgery

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kevin J Pelton MD IncGroup PAC ID 3375625486, 38 clinicians

Eastside Orthopedic Medical AssociatesGroup PAC ID 1254340524, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kevin J. Pelton MD, Inc.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1679771703
  Medicare reassignment Care Compare group NPD
• Eastside Orthopedic Medical Associates

  • Specialist
  • Monterey Park, CA
  • NPI 1235210089
  Medicare reassignment Care Compare group
• Kevin J Pelton MD Inc

  dba Los Angeles Orthopaedic Surgery Specialists

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
  • NPI 1710764576

  Orthopaedic Surgery

  NPD
• Ahmc Monterey Park Hospital LP

  dba Monterey Park Hospital

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  NPD (past)
• Kevin J. Pelton MD, Inc.

  dba Los Angeles Orthopaedic Surgery Specialists

  • Durable Medical Equipment & Medical Supplies
  • Santa Fe Springs, CA
  • NPI 1821711870

  Orthopaedic Surgery

  NPD (past)
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  NPD (past)
• HCA Health Services of Georgia, Inc.

  dba Hughston Orthopedic Hospital

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1437102605
  NPD (past)
• Northeast Hospital Corporation

  • General Acute Care Hospital
  • Beverly, MA
  • NPI 1316917941
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1750608303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-264-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGACRE",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLASS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-22",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A111961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Long, LMFT
• Shannon Olivia Long, PT, DPT
• Skylar Long, PA
• Toni Marie Long, LCSW
• William T Long, M.D.
• Longevity Medical Center
• Sarah L Longhenry
• Andre Longino
• Kendall Longino
• Donald B. Longjohn, M.D.

• Orthopaedic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.
• 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.