GARRETT BAO KHA TRAN LONG (NPI# 1548873110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548873110 |
| Entity Type | Individual |
| Full Name | GARRETT BAO KHA TRAN LONG |
| Credential | DO |
| Practice Address |
26520 Cactus Ave Moreno Valley CA 92555-3927 |
| Mailing Address |
23520 Cactus Ave Moreno Valley CA 92553-8906 |
| Practice Telephone | 9514864000 |
| Mailing Telephone | 9518673900 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730254038 | Garrett Isaac Long Jr. | Dentist | 290 N High St, Box 251, Romney, WV 26757-1415 | 2006-11-21 |
| 1992288831 | Garrett Long | Physical Therapy Assistant | 9300 Lakeview Pkwy, Rowlett, TX 75088-4476 | 2018-09-06 |
| 1841248945 | Garrett Isaac Long IIi | Dentist | 17978 Sr 55, Baker, WV 26801 | 2006-05-04 |
| Street Address |
26520 CACTUS AVE |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546414 | Menard Barruga | Pediatrics | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2005-08-24 |
| 1942816392 | Sheron Mathew | Physician Assistant | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-09-21 |
| 1669086237 | Brittany Noel Speer | Physician Assistant | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-09-01 |
| 1639782063 | Yinxi Wu | Social Worker | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-08-25 |
| 1124636246 | Marie Therese Fonseca | Counselor | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-07-15 |
| 1396363545 | Jackson Helms | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-07-13 |
| 1588282024 | Adam Kreutzer | Orthopaedic Surgery | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-07-10 |
| 1861010316 | Nicholas Bast | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-07-10 |
| 1699392449 | Xiao Song | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-06-27 |
| 1639796519 | Mohit Bhatt | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534286 | Dzung Cong Nguyen | Student in an Organized Health Care Education/Training Program | 24870 Newgarden St, Moreno Valley, CA 92551-7423 | 2020-09-23 |
| 1891303095 | Meriam Naqvi | Student in an Organized Health Care Education/Training Program | 15132 Moreno Beach Dr Apt 732, Moreno Valley, CA 92555-6390 | 2020-07-14 |
| 1245879758 | Melissa Galloway | Student in an Organized Health Care Education/Training Program | 23226 Denver Ct, Moreno Valley, CA 92553-5960 | 2019-12-31 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1669959334 | Angelica Milagros Lewis | Student in an Organized Health Care Education/Training Program | 22851 Scotia Ln, Moreno Valley, CA 92557-6907 | 2018-07-25 |
| 1073099438 | Matthew Weber | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave Rm B2042, Moreno Valley, CA 92555-3927 | 2018-07-18 |
| 1124513437 | Dong Mai Tran | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave # B2018, Moreno Valley, CA 92555-3927 | 2018-06-28 |
| 1821583774 | Priya Thumma | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave # Mcb2018, Moreno Valley, CA 92555-3927 | 2018-06-23 |
| 1053858456 | Ashley Mclendon | Student in an Organized Health Care Education/Training Program | 13190 Day St, #212, Moreno Valley, CA 92553-7340 | 2017-01-23 |
| 1538778261 | Arash Karimi Afshar | Student in an Organized Health Care Education/Training Program | 23520 Cactus Ave, Moreno Valley, CA 92553-8906 | 2020-07-28 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
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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.