Individual provider Active NPI

Bill Joe Longwell, MD

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1821169475
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G41238 Issued in CA
Practice address
1833 10TH Ave
Oakland, CA 94606-3023
Phone
(510) 909-6078
Fax
(510) 536-4753
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G41238 CA Primary

Addresses

Primary practice location

1833 10TH Ave
Oakland, CA 94606-3023

Mailing address

1833 10TH Ave
Oakland, CA 94606-3023
Phone (510) 909-6078

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ46328ZMedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G41238CAMDInternal Medicine Physician
41238CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Medical Group Internal Medicine PastSince Jan 1, 1990 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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1821169475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 10TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063023",
            "telephone_number": "510-909-6078",
            "fax_number": "510-909-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 10TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063023",
            "telephone_number": "510-909-6078",
            "fax_number": "510-536-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWELL",
        "first_name": "BILL",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G41238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ46328Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.