Robert P. Long II, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95001599 Issued in CA

Practice address

250 N 1St St
Blythe, CA 92225-1702

Phone

(216) 904-6330

NPI assigned

Mar 11, 2007

Last updated

Sep 19, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Navajo Health Foundation-Sage Memorial Hospital, Inc.

  dba Sage Memorial Physicians

  • Rural Acute Care Hospital
  • Ganado, AZ
  • NPI 1477735777
  Medicare reassignment NPD
• Navajo Health Foundation-Sage Memorial Hospital Inc

  dba Sage Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Ganado, AZ
  • NPI 1518957398
  NPD
• Triservice Anesthesia Partners, LLC

  • Anesthesiology Physician
  • Westlake, FL
  • NPI 1114680857
  NPD
• Chevy Chase Anesthesia LLC

  • Anesthesiology Physician
  • Frederick, MD
  • NPI 1538158977
  NPD (past)
• Rvlwf Michigan PLLC

  • Multi-Specialty Clinic/Center
  • Novi, MI
  • NPI 1891453684
  NPD (past)

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1760514293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 CANOPY GROVE DR",
            "city": "WESTLAKE",
            "state": "FL",
            "postal_code": "334707049",
            "telephone_number": "216-904-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N 1ST ST",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251702",
            "telephone_number": "216-904-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ROBERT",
        "middle_name": "P.",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R196807",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Linares, RAS
• Angela Jean Linares
• Nickolas Lloyd Lind, M.D.
• Loma Linda Vamc
• Christopher Lomayesva
• Kenneth Grant Lucero, M.D.
• Alexandra Lunan, BHS II
• M & M Medical Clinic Inc.
• Angelita E Macias
• Philip Maldonado, DMD

• Certified Registered Nurse Anesthetist in Blythe, CA
• Providers in Blythe, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.