DR. CHARLES THOMS LONGO (NPI# 1073738365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073738365 |
Entity Type | Individual |
Full Name | DR. CHARLES THOMS LONGO |
Credential | M.D. |
Practice Address |
4250 H St Suite 3 Sacramento CA 95819-3441 |
Practice Telephone | 9164568756 |
Practice Fax Number | 9164561542 |
Mailing Telephone | 9164568756 |
Mailing Fax Number | 9164561542 |
Enumeration Date | 2007-04-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A35521 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811017890 | Charles R. Longo | Dentist | 514 Towne Dr, Fayetteville, NY 13066-1331 | 2007-03-31 |
1841266608 | Charles A Longo | Internal Medicine | 1315 S. Cliff Ave, Ste 3000, Sioux Falls, SD 57105-1061 | 2006-02-23 |
1700855186 | Charles A Longo | Internal Medicine | 1515 Delhi St, Ste 100, Dubuque, IA 52001-6320 | 2006-03-16 |
Street Address |
4250 H ST SUITE 3 |
City | SACRAMENTO |
State | CA |
Zip Code | 95819-3441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437517349 | Elyssa Lakich | Nurse Practitioner | 4250 H St, Suite 2, Sacramento, CA 95819-3441 | 2016-02-05 |
1699001370 | Keystone Chiropractic | Chiropractor | 4250 H St, Suite 2, Sacramento, CA 95819-3441 | 2009-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
Find all providers in zip 95819 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114212693 | Heath Jared Charvet | Surgery | 2335 Stockton Blvd, Naob 6th Floor, Sacramento, CA 95817-1418 | 2011-06-13 |
1235314121 | David E Sahar | Surgery | 2221 Stockton Blvd Rm 2125, Sacramento, CA 95817-1418 | 2008-01-09 |
1962625251 | Charles W. Perry, M.d., Inc. | Surgery | 3800 J St Ste 200, Sacramento, CA 95816-5551 | 2007-04-11 |
1568996056 | Corey Bascone | Surgery | 2315 Stockton Blvd. - Department of Surgery, Naob 6th Floor - Plastics, Sacramento, CA 95817-2201 | 2017-04-12 |
1154702892 | Jeffrey A Sweat Md PC | Surgery | 83 Scripps Dr, Suite 130, Sacramento, CA 95825-6319 | 2015-06-17 |
1679915565 | Shriners Hospitals for Children | Surgery | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2013-07-22 |
1225302516 | Dattesh Rajendra Dave | Surgery | 2335 Stockton Blvd, 6th Floor, 6011-3, Sacramento, CA 95817 | 2012-03-03 |
1497075980 | Shuhao Zhang | Surgery | 3000 Q St Fl 5, Sacramento, CA 95816-7058 | 2010-06-07 |
1891014965 | Rohit Jaiswal | Surgery | 2315 Stockton Blvd Rm 6309, Sacramento, CA 95817-2201 | 2010-05-27 |
1689848848 | Hengli Lin | Surgery | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2008-04-18 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95819 |
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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.