WILLIAM T LONG MD INC A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION (NPI# 1881030112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881030112 |
| Entity Type | Organization |
| Organization Name | WILLIAM T LONG MD INC A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
1300 N Vermont Ave Ste 100 Los Angeles CA 90027-6061 |
| Practice Telephone | 3239134300 |
| Mailing Telephone | 3239134300 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | DR. WILLIAM T LONG (PHYSICIAN) |
| Authorized Official Telephone | 3239134300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
G060239 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G602390 | 05 | |
| CA | MEDICARE PTAN | HI463A | 01 |
| Street Address |
1300 N VERMONT AVE STE 100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023067055 | William T Long | Orthopaedic Surgery | 1300 N Vermont Ave Ste 100, Los Angeles, CA 90027-6061 | 2006-05-08 |
| 1013196195 | H Michael Mynatt M D Inc | Orthopaedic Surgery | 1300 N Vermont Ave Ste 100, Los Angeles, CA 90027-6061 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598905382 | William Long, Md | Orthopaedic Surgery | 637 S. Lucas Ave. 1st Fl., Los Angeles, CA 90017 | 2009-03-06 |
| 1619166428 | Michael J. Harris, M.d., Inc. | Orthopaedic Surgery | 637 Lucas Ave Fl 1, Los Angeles, CA 90017-1997 | 2007-10-17 |
| 1124154034 | Alan Kessler | Orthopaedic Surgery | 505 S Rimpau Blvd, Los Angeles, CA 90020-4831 | 2007-02-26 |
| 1023067055 | William T Long | Orthopaedic Surgery | 1300 N Vermont Ave Ste 100, Los Angeles, CA 90027-6061 | 2006-05-08 |
| 1164833406 | Nathanael David Heckmann | Orthopaedic Surgery | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 | 2014-05-08 |
| 1679983712 | Vikas Patel | Orthopaedic Surgery | 6801 Park Ter Ste 400, Los Angeles, CA 90045-9212 | 2014-04-29 |
| 1982752762 | Erika Hassan | Orthopaedic Surgery | 200 Ucla Medical Plz, Suite 140, Los Angeles, CA 90095-8344 | 2007-01-08 |
| 1598831000 | Jeffrey Eckardt | Orthopaedic Surgery | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2006-11-27 |
| 1538249776 | Guy D Paiement | Orthopaedic Surgery | 444 S San Vicente Blvd, # 603, Los Angeles, CA 90048-4165 | 2006-10-16 |
| 1699872366 | Bert J. Thomas | Orthopaedic Surgery | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2006-09-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on WILLIAM T LONG MD INC A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION.
| 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.