Active NPI
Mary Long, DACM, LAC
- Acupuncturist
- Long Beach, CA
National Provider Identifier
1801368048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18298
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18298 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morales Holistic Health Center a Chiropractic Corporation | Acupuncturist | Past | 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.
-
- Chiropractor
- Downey, CA
- NPI 1417502204
Acupuncturist
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.