Malinda Marie Long

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1840 Wilson Ave Ste C
National City, CA 91950-5515

Phone

(619) 477-0795

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952412959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 GROVE AVE APT 33",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919323655",
            "telephone_number": "619-573-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WILSON AVE STE C",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505515",
            "telephone_number": "619-477-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MALINDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "9574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuntzu Liu
• Bernardita Nazaire Lizan, DMD
• Ayleth Maricela Lizarraga
• Erika Narly Llacsahuache
• Long Dang Tran D.D.S., Inc. (Highland Dental, Dental Practice of Long Dang Tran D.D.S., Inc)
• Longs Drug Stores California LLC (CVS Pharmacy #09783)
• Anthuar Lopez
• Benjamin Andrew Lopez
• Clarissa Inez Lopez
• Dana Loreto

• Counselor in National City, CA
• Providers in National City, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.