Individual provider Active NPI

Corey Michael Long, M.D.

  • Emergency Medicine Physician
  • San Francisco, CA
National Provider Identifier
1841480159
Registry record updated May 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A109270 Issued in CA
Practice address
900 Hyde St
Cep - Emergency Department
San Francisco, CA 94109-4806
Phone
(415) 353-6300
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 246506 NY
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X A109270 CA Primary

Addresses

Primary practice location

900 Hyde St
Cep - Emergency Department
San Francisco, CA 94109-4806

Mailing address

900 Hyde St
Cep - Emergency Department
San Francisco, CA 94109-4806

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091022000263 CA Practitioner - Emergency Medicine 3870650138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

450 Stanyan St
San Francisco, CA 94117-1019
Phone (415) 668-1000

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • UCSF Health Saint Francis Hospital Hospital, San Francisco, CA, CCN 050152

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A109270CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine CurrentSince Aug 10, 2009 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Aug 10, 2009 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
San Francisco Emergency Medical Associates Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Phelps Memorial Hospital Association Emergency Medicine Past Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients

Locations

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2540 East St
Concord, CA 94520
Phone (925) 674-2228

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

2351 Clay St
Ste 501
San Francisco, CA 94115
Phone (415) 600-3898

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: corey.long.1@25843.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464480000000",
    "number": "1841480159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HYDE ST",
            "address_2": "CEP - EMERGENCY DEPARTMENT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HYDE ST",
            "address_2": "CEP - EMERGENCY DEPARTMENT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094806",
            "telephone_number": "415-353-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "COREY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2016-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "246506",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A109270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.