MR. EVAN LONG (NPI# 1093190035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093190035 |
| Entity Type | Individual |
| Full Name | MR. EVAN LONG |
| Credential | B.A. |
| Practice Address |
9901 Artesia Blvd Bellflower CA 90706-6713 |
| Practice Telephone | 5624843385 |
| Mailing Telephone | 5624843385 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2019-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12800 Garden Grove Blvd, Garden Grove, CA 928432008 | 7146208131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033634415 | Evan Christopher Long | Social Worker | 5755 N State Road 9, Howe, IN 46746-9228 | 2017-08-07 |
| 1740522093 | Evan Gregory Long | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2013-03-25 |
| 1992719587 | Evan G Long | Dentist | 5641 Poplar Tent Rd, Suite 201, Concord, NC 28027-7533 | 2006-07-28 |
| Street Address |
9901 ARTESIA BLVD |
| City | BELLFLOWER |
| State | CA |
| Zip Code | 90706-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407917842 | Juan Cardona | Counselor | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2006-12-12 |
| 1881208627 | Destiny April Celio | Student in an Organized Health Care Education/Training Program | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-08-31 |
| 1548872500 | Nicole Rosenberg | Student in an Organized Health Care Education/Training Program | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-08-20 |
| 1356950281 | Wyahee Tucrkile | Case Manager/Care Coordinator | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-07-27 |
| 1811505142 | Amanda Calvillo | Case Manager/Care Coordinator | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-07-22 |
| 1720613581 | Melissa Navarro | Student in an Organized Health Care Education/Training Program | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-03-11 |
| 1326672882 | Jamie Julissa Maldonado-gomez | Case Manager/Care Coordinator | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-02-24 |
| 1588297352 | Jacqueline Hegle | Case Manager/Care Coordinator | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-02-19 |
| 1639718976 | Roice Reyes | Licensed Vocational Nurse | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-01-03 |
| 1043863590 | Ernesto Serrano | Case Manager/Care Coordinator | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922526573 | Edward W. Lew Dmd Inc. | Dentist | 17024 Clark Ave Suite C, Bellflower, CA 90706 | 2017-09-05 |
| 1629501226 | Miriam Zuniga Dds Inc | Clinic/Center | 14349 Woodruff Ave, Bellflower, CA 90706 | 2017-04-10 |
| 1528507175 | Michael Dwayne Chubbs | In Home Supportive Care | 15120 Woodruff Avenue, Unit #25, Bellflower, CA 90706 | 2017-02-15 |
| 1407229792 | Lillian Armenta | Case Manager/Care Coordinator | 13536 Cowley Avenue, Bellflower, CA 90706 | 2015-11-09 |
| 1295119568 | Saima Martinez | Dental Assistant | 9719 Cedar St. Apt. 1, Bellflower, CA 90706 | 2015-07-16 |
| 1891198214 | Vanessa Guerra | Counselor | 17800 Woodruff, Bellflower, CA 90706 | 2014-09-30 |
| 1679995534 | Yunsook Cheung Waldman | Dentist | 10318 E. Rosecrans, Bellflower, CA 90706 | 2014-01-13 |
| 1144652736 | Verzhine Elena Trdatyan | Pharmacist | 15740 Woodruff Avenue, Bellflower, CA 90706 | 2013-08-06 |
| 1245579481 | Lynn F Lo | Nurse Practitioner | 16323 Clark Ave., Bell Flower, CA 90706 | 2013-02-07 |
| 1285972240 | Miriam Zuniga-bernardeau | Dentist | 14349 Woodruff Ave., Bellflower, CA 90706 | 2013-01-26 |
| Find all providers in zip 90706 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811827 | Alessandra Montes | Case Manager/Care Coordinator | 9233 Ives St, Bellflower, CA 90706-3515 | 2020-01-28 |
| 1205477023 | Zenani Henderson-smith | Case Manager/Care Coordinator | 16227 Eucalyptus Ave Apt 45, Bellflower, CA 90706-8207 | 2019-10-02 |
| 1912466350 | Jeffrey Calhoun | Case Manager/Care Coordinator | 9844 Artesia Blvd, Bellflower, CA 90706-6712 | 2019-03-15 |
| 1407229792 | Lillian Armenta | Case Manager/Care Coordinator | 13536 Cowley Avenue, Bellflower, CA 90706 | 2015-11-09 |
| 1083701478 | Alejandra Gonzalez | Case Manager/Care Coordinator | 17800 Woodruff Ave Ste F, Bellflower, CA 90706-7029 | 2006-10-06 |
| 1356950281 | Wyahee Tucrkile | Case Manager/Care Coordinator | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-07-27 |
| 1811505142 | Amanda Calvillo | Case Manager/Care Coordinator | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-07-22 |
| 1326672882 | Jamie Julissa Maldonado-gomez | Case Manager/Care Coordinator | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-02-24 |
| 1588297352 | Jacqueline Hegle | Case Manager/Care Coordinator | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2020-02-19 |
| 1649810383 | Christine Danielle Soneriu-sanchez | Case Manager/Care Coordinator | 17800 Woodruff Ave, Bellflower, CA 90706-7079 | 2020-01-10 |
| Find all providers in BELLFLOWER | ||||
| City | BELLFLOWER |
| Zip Code | 90706 |
Please comment or provide details below to improve the information on MR. EVAN LONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.