Active NPI
Angela Grace Long, PA-C
- Physician Assistant
- Enid, OK
National Provider Identifier
1962824086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4519
- Practice address
- 3201 N Van Buren St Ste 350
Enid, OK 73703-1814 - Phone
- (580) 366-0844
- Fax
- (580) 297-5197
- NPI assigned
- Jan 8, 2014
- Last updated
- Nov 5, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4519 | OK | Primary |
Addresses
Primary practice location
3201 N Van Buren St Ste 350
Enid, OK 73703-1814
Mailing address
PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200984110A | Medicaid | OK |
Other names 1
- Angela Grace Sasaki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Oklahoma College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 N Van Buren St
Enid, OK 73703-1814
Phone (580) 366-0844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4519 | OK | MD | Speech-Language Pathologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allergy Partners of Oklahoma
- Allergy & Immunology Physician
- Enid, OK
- NPI 1497130710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1962824086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603725",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603725",
"telephone_number": "828-575-2625",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 N VAN BUREN ST STE 350",
"city": "ENID",
"state": "OK",
"postal_code": "737031814",
"telephone_number": "580-366-0844",
"fax_number": "580-297-5197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "ANGELA",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "4519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200984110A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "SASAKI",
"middle_name": "GRACE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.