Active NPI
William Steven Longfellow, M.D.
- Internal Medicine Physician
- Rancho Mirage, CA
National Provider Identifier
1922149285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A50581
- Practice address
- 71780 San Jacinto Dr
Suite H-1
Rancho Mirage, CA 92270-5516 - Phone
- (760) 340-6777
- Fax
- (760) 340-1146
- NPI assigned
- Feb 9, 2007
- 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 | A50581 | CA | Primary |
Addresses
Primary practice location
71780 San Jacinto Dr
Suite H-1
Rancho Mirage, CA 92270-5516
Mailing address
71780 San Jacinto Dr
Suite H-1
Rancho Mirage, CA 92270-5516
Phone (760) 340-6777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ26427Z | Other | CA | GROUP ID NUMBER BOX 33 |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120313000188 | CA | Practitioner - Internal Medicine | 5698850634 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50581 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1922149285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71780 SAN JACINTO DR",
"address_2": "SUITE H-1",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922705516",
"telephone_number": "760-340-6777",
"fax_number": "760-340-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71780 SAN JACINTO DR",
"address_2": "SUITE H-1",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922705516",
"telephone_number": "760-340-6777",
"fax_number": "760-340-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGFELLOW",
"first_name": "WILLIAM",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A50581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ID NUMBER BOX 33",
"identifier": "ZZZ26427Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
- Janine Greeno Loescher, RD, CDCES
- Daniel Logsdon, MD
- Lombardo Surgical, Inc.
- Maria Anne Lombardo, DO
- William Hardy Longfellow, M.D.
- Giovanni Antonio Longo
- Longs Drug Stores California LLC (CVS Pharmacy #09153)
- Lopez Anesthesia Services a Medical Corporation
- Carlos A Lopez, M.D.,M.P.H.
- Carolyn Maria Lopez, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.