Active NPI
Thomas V Long, MD.
- Internal Medicine Physician
- Alhambra, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G73457
- Practice address
- 1680 S Garfield Ave Ste 204
Alhambra, CA 91801-5413 - Phone
- (818) 839-5200
- Fax
- (818) 839-5190
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G73457 | CA | Primary |
Addresses
Primary practice location
1680 S Garfield Ave Ste 204
Alhambra, CA 91801-5413
Mailing address
11025 Willowbrae Ave
Chatsworth, CA 91311-1495
Phone (818) 205-6523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G734570 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23341 Mulholland Dr
Woodland Hills, CA 91364-2734
Phone (818) 637-0048
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G73457 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downtown Urgent Care | Current | Accepting new patients | |
| Astrana Care Hospitalists, a Medical Corporation | Current | Accepting new patients | |
| Exer Medical Corporation | Current | Accepting new patients | |
| Anaheim Urgent Care, Inc | Current | Accepting new patients | |
| Anaheim Urgent Care, Inc. | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients |
Locations
1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100
831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
888 S Figueroa St
Ste 600
Los Angeles, CA 90017
5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273
1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
Interoperability endpoints
- tlong436653@oc.providencedirect.org
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1962680033
-
- Urgent Care Clinic/Center
- Beverly Hills, CA
- NPI 1619682788
-
- Hospitalist Physician
- Alhambra, CA
- NPI 1265658595
-
- Urgent Care Clinic/Center
- Los Angeles, CA
- NPI 1740655208
-
- Ambulatory Surgical Clinic/Center
- Mission Hills, CA
- NPI 1194083824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1912924432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11025 WILLOWBRAE AVE",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913111495",
"telephone_number": "818-205-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 S GARFIELD AVE STE 204",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918015413",
"telephone_number": "818-839-5200",
"fax_number": "818-839-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "THOMAS",
"middle_name": "V",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G73457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G734570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.