Individual provider Active NPI

Mary Long, DACM, LAC

  • Acupuncturist
  • Long Beach, CA
National Provider Identifier
1801368048
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18298 Issued in CA
Practice address
4301 Atlantic Ave Ste 5
Long Beach, CA 90807-2833
Phone
(562) 888-9933
NPI assigned
Dec 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18298 CA Primary

Addresses

Primary practice location

4301 Atlantic Ave Ste 5
Long Beach, CA 90807-2833

Mailing address

PO Box 40327
Downey, CA 90239-1327

Other practice location 1

8358 Florence Ave
Downey, CA 90240-3917
Phone (562) 622-4444

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

State licenses

LicenseStateTypeSpecialty
18298CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morales Holistic Health Center a Chiropractic Corporation Acupuncturist PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 1

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": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1801368048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40327",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902391327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE STE 5",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-888-9933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8358 Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902403917",
            "country_code": "US",
            "telephone_number": "562-622-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DACM, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.