DR. JUSTIN LONG (NPI# 1336145267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336145267 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN LONG |
| Credential | D.C. |
| Practice Address |
11498 Pierce St Ste B Riverside CA 92505-3308 |
| Mailing Address |
24841 Springbrook Way Menifee CA 92584-7542 |
| Practice Telephone | 9513546294 |
| Practice Fax Number | 9513546295 |
| Mailing Telephone | 9516729682 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 28576 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213318 | Justin Long | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2019-09-04 |
| 1831627009 | Justin Aaron Long | Case Manager/Care Coordinator | 707 N Cardinal Dr Ste 7, Mountain Home, AR 72653-3274 | 2017-05-31 |
| 1053725531 | Justin M Long | Psychiatry & Neurology | 4921 Parkview Pl, Neuroscience Center 6c, Saint Louis, MO 63110-1032 | 2014-06-12 |
| 1063775492 | Justin Long | Dentist | 3307 Cleveland Rd W, Huron, OH 44839-1021 | 2012-06-20 |
| 1447587027 | Justin Allen Long | Physician Assistant | 501 S Santa Fe Ave, Suite 200, Salina, KS 67401 | 2009-11-03 |
| 1770718843 | Justin B Long | Anesthesiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2009-05-19 |
| 1881840254 | Justin Hale Long | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2008-08-17 |
| 1700098407 | Justin Robert Long | Specialist/Technologist | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2007-05-04 |
| 1184728263 | Justin Wayne Long | Physical Therapist | 2085 Hamilton Creek Pkwy, Suite 160, Dacula, GA 30019 | 2006-09-11 |
| Street Address |
11498 PIERCE ST STE B |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033740154 | Kristen Masae Alfonso Lee | Massage Therapist | 11498 Pierce St, Riverside, CA 92505-3357 | 2020-01-28 |
| 1235657750 | Paola Karina Telyagova | Marriage & Family Therapist | 11498 Pierce St, Riverside, CA 92505-3357 | 2017-09-05 |
| 1376783399 | Acosta Chiropractic, Inc. | Chiropractor | 11498 Pierce St, Ste #b, Riverside, CA 92505-3357 | 2009-03-03 |
| 1407075344 | David Acosta | Chiropractor | 11498 Pierce St, Ste. #b, Riverside, CA 92505-3357 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851920169 | Felicitas Enoveso Shorter Merced | Chiropractor | 16400 Limerick St, Riverside, CA 92503-5944 | 2020-04-07 |
| 1467006395 | Jason Chin | Chiropractor | 1485 University Ave Ste B, Riverside, CA 92507-4497 | 2019-07-29 |
| 1407314560 | Jessica Meagan Flores | Chiropractor | 19069 Van Buren Blvd Ste 110, Riverside, CA 92508-9170 | 2019-03-07 |
| 1043729262 | Nabeel Fargo | Chiropractor | 6281 Brockton Ave Ste 5, Riverside, CA 92506-2210 | 2017-09-20 |
| 1750814687 | Wei Xia | Chiropractor | 6887 Brockton Ave, Riverside, CA 92506-3811 | 2017-04-07 |
| 1811377831 | Dorothy L Heckman Gentle Chiropractic Care, Inc. | Chiropractor | 6828 Streeter Ave, Riverside, CA 92504-2256 | 2015-06-04 |
| 1275924714 | Kabil Ro | Chiropractor | 3657 Van Buren Blvd, Riverside, CA 92503 | 2015-02-05 |
| 1922497023 | Ries Chiropractic Associates Apc | Chiropractor | 6611 Arlington Ave Ste E, Riverside, CA 92504-1959 | 2015-01-13 |
| 1215325451 | Adriana Mekhael | Chiropractor | 7177 Brockton Ave Ste 106, Riverside, CA 92506-2632 | 2014-12-22 |
| 1750706016 | John Nieruchalski | Chiropractor | 3838 Jackson St Ste B, Riverside, CA 92503-3917 | 2014-02-24 |
| Find all providers in RIVERSIDE | ||||
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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.