MS. CARLA PRICE LONGCHAMP (NPI# 1972544948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972544948 |
| Entity Type | Individual |
| Full Name | MS. CARLA PRICE LONGCHAMP |
| Credential | M.D. |
| Practice Address |
1300 N Dutton Ave Santa Rosa CA 95401-7112 |
| Mailing Address |
1245 S Main St Willits CA 95490-4305 |
| Practice Telephone | 7074596861 |
| Mailing Telephone | 7074596861 |
| Mailing Fax Number | 7074593057 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G76332 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1245 S Main St, Willits, CA 954904305 | 7074596861 | 7074593057 |
| Street Address |
1300 N DUTTON AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487649711 | Patricia Whooley Kulawiak | Family Medicine | 1300 N Dutton Ave, Santa Rosa, CA 95401 | 2005-09-13 |
| 1245830223 | Alexy Francisco Andrade | Nurse Practitioner | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2020-10-28 |
| 1558997569 | Nicole Fernandes | Nurse Practitioner | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2020-03-21 |
| 1588207351 | Megan Culligan | Nurse Practitioner | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2019-10-23 |
| 1376185272 | Ryan Duval | Acupuncturist | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2019-10-11 |
| 1386295160 | Jordan Michele Petersen | Dental Hygienist | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2019-09-24 |
| 1871153734 | Priscilla Lujan Rodriguez | Nurse Practitioner | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2019-06-13 |
| 1770148108 | Jennifer Nicole Francis | Nurse Practitioner | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2019-05-01 |
| 1770059750 | Brittany English | Nurse Practitioner | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2018-10-17 |
| 1386129294 | Claire Maureen Kugler | Nurse Practitioner | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2018-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889581 | Herbert Carey Pratt | Family Medicine | 4210 Thomas Lake Harris Dr Apt 217, Santa Rosa, CA 95403-5793 | 2020-01-06 |
| 1346883998 | Teresa Su | Family Medicine | 2200 County Center Dr Ste C, Santa Rosa, CA 95403-3000 | 2019-10-25 |
| 1114468568 | Erica Kumala | Family Medicine | 401 Bicentennial Way Ste 285, Santa Rosa, CA 95403-2149 | 2017-03-18 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1801186648 | Adam Crawford Francis | Family Medicine | 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403-1757 | 2011-04-13 |
| 1811217003 | Dora Alicia Martinez | Family Medicine | 122 Fm 506, Santa Rosa, TX 78593-0226 | 2010-06-10 |
| 1558518290 | John Andrew Carollo Jr. | Family Medicine | 5555 Montgomery Dr Apt 36, Santa Rosa, CA 95409-5597 | 2008-08-25 |
| 1154577831 | Sutter Medical Group of The Redwoods | Family Medicine | 500 Doyle Park D., 200, Santa Rosa, CA 95405 | 2008-08-13 |
| 1013175918 | Lucia Dei Roncalli | Family Medicine | 1010 Sundown Trl, Santa Rosa, CA 95404-1115 | 2008-05-28 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on MS. CARLA PRICE LONGCHAMP.
| 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.