JOSEPH E. LONG (NPI# 1225116379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225116379 |
| Entity Type | Individual |
| Full Name | JOSEPH E. LONG |
| Credential | MD |
| Practice Address |
1425 S Main St Walnut Creek CA 94596-5318 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 9252954000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G87494 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G874940 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407939 | Joseph Maxwell Long | Specialist/Technologist | 117 Russell Rd Apt 201, Cayce, SC 29033-1983 | 2017-06-19 |
| 1285728170 | Joseph Michael Long | Psychologist | 1113 E 5th, Washington, MO 63090 | 2006-10-03 |
| 1629085931 | Joseph G Long | Chiropractor | 506 Hospital Dr, Mountain Home, AR 72653-2913 | 2006-08-01 |
| 1982104592 | Joseph Long | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-02-20 |
| 1760922322 | Joseph Long II | Nurse Practitioner | 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-6706 | 2017-03-02 |
| 1447602370 | Joseph Long | Dentist | 611 W Park St, Urbana, IL 61801-2529 | 2016-07-03 |
| 1477759116 | Joseph L Long | Dentist | 21 Northbrook Dr, Falmouth, ME 04105-1346 | 2007-06-21 |
| 1801978911 | Joseph Michael Long | Family Medicine | 7000 Jefferson St Ne, Albuquerque, NM 87109-4313 | 2006-10-19 |
| 1578679197 | Joseph Blake Long | Pediatrics | 4750 Waters Ave, Suite 512, Savannah, GA 31404-6200 | 2006-08-23 |
| 1871528828 | Joseph Merl Long | Family Medicine | 2805 N Navarro St, Suite #320, Victoria, TX 77901-3946 | 2006-07-11 |
| Street Address |
1425 S MAIN ST |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342638 | Ingrid Wendy Fernandes | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2005-08-09 |
| 1982221297 | Michelle Nhumai Huynh | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-07-02 |
| 1144869322 | Darrell James David | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-01-05 |
| 1306484530 | Kayla Galanter | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-12-18 |
| 1184260804 | Carol Jean Mcmenamy | Social Worker | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-18 |
| 1871138990 | Gloria Yatmen Lai | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-12 |
| 1851945901 | Zsanell Go | Physical Therapist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-07-26 |
| 1043776453 | Bridget Rochios | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
| 1518423920 | Britnie Lee Milam | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
| 1326503244 | Megan R Moore | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154733152 | Zachary Thomas Fellows | Internal Medicine | 120 La Casa Via Ste 204, Walnut Creek, CA 94598-3007 | 2014-05-24 |
| 1063764488 | Baldomero De Leon M.d. Inc. | Internal Medicine | 1479 Ygnacio Valley Rd Ste 201, Walnut Creek, CA 94598-2945 | 2012-10-09 |
| 1841555976 | Yevgeny Klebanov | Internal Medicine | 120 La Casa Via Ste 101, Walnut Creek, CA 94598-3092 | 2012-07-04 |
| 1184910390 | Gisha Thomas | Internal Medicine | 3466 Mt. Diablo Blvd, #c104, Walnut Creek, CA 94596 | 2011-06-27 |
| 1831497437 | Ronald G Campos, Md Inc | Internal Medicine | 1844 San Miguel Dr Ste 307, Walnut Creek, CA 94596-4963 | 2011-03-05 |
| 1083842199 | Chetachi A Okereke | Internal Medicine | 1840 San Miguel Dr, Suite 203, Walnut Creek, CA 94596-8602 | 2009-06-26 |
| 1972750123 | Syed Khalid Mustafa | Internal Medicine | 1299 Newell Hill Pl Ste 100, Walnut Creek, CA 94596-5230 | 2008-08-19 |
| 1366613390 | Leonard M. Saputo, Md Inc | Internal Medicine | 1620 Riviera Ave, Walnut Creek, CA 94596-3528 | 2008-03-18 |
| 1700085412 | Activa Medical Center, Inc. | Internal Medicine | 1479 Ygnacio Valley Rd Ste 207, Walnut Creek, CA 94598-2945 | 2007-07-12 |
| 1750433587 | Monica Ruiz Durant | Internal Medicine | 3356 Westport Ct, Walnut Creek, CA 94598-4030 | 2007-01-18 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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| 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.