BILLY MIKEL LONG (NPI# 1679627459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679627459 |
| Entity Type | Individual |
| Full Name | BILLY MIKEL LONG |
| Other Name | BILLY LONG |
| Credential | D.C. |
| Practice Address |
24007 Ventura Blvd Suite 130 Calabasas CA 91302-2568 |
| Practice Telephone | 8185918847 |
| Practice Fax Number | 8185910549 |
| Mailing Telephone | 8185918847 |
| Mailing Fax Number | 8185910549 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC27936 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX ID # | 202344792 | 01 |
| CA | BC-BS GROUP ID# | ZZZ64988Z | 01 |
| CA | LICENSE # | DC27936 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268822 | Billy W Long | Internal Medicine | 1421 N State St, Suite 203, Jackson, MS 39202-1658 | 2005-10-11 |
| Street Address |
24007 VENTURA BLVD SUITE 130 |
| City | CALABASAS |
| State | CA |
| Zip Code | 91302-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093875098 | Sports Motion Physical Therapy | Physical Therapist | 24007 Ventura Blvd, Suite 100, Calabasas, CA 91302-1458 | 2006-12-11 |
| 1912021213 | Buena Vista Pharmacy | Pharmacy | 24007 Ventura Blvd, Ste 240, Calabasas, CA 91302-1458 | 2007-03-19 |
| 1205980067 | Long Chiropractic Professional Corporation | Chiropractor | 24007 Ventura Blvd, Suite 130, Calabasas, CA 91302-2568 | 2007-01-22 |
| 1871647339 | Arthur Gazaryants | Acupuncturist | 24007 Ventura Blvd, Suite 130, Calabasas, CA 91302-1458 | 2007-01-22 |
| 1649332941 | David Stanley Dennies | Physical Therapist | 24007 Ventura Blvd, Suite 100, Calabasas, CA 91302-1458 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564921 | Joanna Sara Gould | Social Worker | 3520 Consuelo Drive, Calabasas, CA 91302 | 2020-10-08 |
| 1104485069 | Shannon Bright | Behavior Technician | 5741 Las Virgenes Rd, Calabasas, CA 91302 | 2019-06-13 |
| 1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
| 1700302684 | Supreme Diagnostics Inc. | Radiology | 26213 Veva Way, Calabasas, CA 91302 | 2017-08-22 |
| 1528590817 | Nataliya Bulba | Pharmacist | 5544 Las Virgenes Road 107, Calabasas, CA 91302 | 2017-03-28 |
| 1477933794 | Samantha Cassandra Madziarski | Psychiatry & Neurology | 26135 Mureau Rd Ste 101, Calabasas, CA 91302 | 2015-06-02 |
| 1659778694 | Sharon Hensel-cohen | Speech-Language Pathologist | 4302 Park Paloma, Calabasas, CA 91302 | 2014-11-19 |
| 1699171066 | Deborah Heidi Cohen | Marriage & Family Therapist | 22231 Mulholland Highway, Suite 200, Calabasas, CA 91302 | 2014-11-13 |
| 1801297502 | Laurel Deurmier | Behavioral Analyst | 5741 Las Virgenes Rd Ste A, Calabasas, CA 91302 | 2014-09-12 |
| 1518383520 | Tammy Brandt | Psychologist | 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 | 2014-03-14 |
| Find all providers in zip 91302 | ||||
| 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 |
|---|---|---|---|---|
| 1982269569 | Elizaveta Krylova | Chiropractor | 5755 Las Virgenes Rd, Calabasas, CA 91302-1235 | 2019-05-08 |
| 1720211964 | Elham Nemat Chiropractic Inc | Chiropractor | 23400 Park Sorrento, Calabasas, CA 91302-1743 | 2009-09-03 |
| 1104079169 | Carlos Andres Pacini | Chiropractor | 23622 Calabasas Rd Ste 349, Calabasas, CA 91302-1594 | 2008-11-03 |
| 1295909695 | Vanessa Passov | Chiropractor | 26560 Agoura Rd Suite 113, Calabasas, CA 91302 | 2008-04-16 |
| 1982820106 | Lester Lin | Chiropractor | 23548 Calabasas Rd, Suite 204, Calabasas, CA 91302-1314 | 2007-04-17 |
| 1558375758 | Heidi Lynn Christopher | Chiropractor | 26560 Agoura Rd, Suite 113, Calabasas, CA 91302-1926 | 2006-07-27 |
| 1023049780 | Timothy Scott Schumacher | Chiropractor | 26560 Agoura Rd Ste 113, Calabasas, CA 91302-3532 | 2006-07-05 |
| 1437483005 | Lester Lin Chiropractic Corp | Chiropractor | 23548 Calabasas Rd, Suite 204, Calabasas, CA 91302-1314 | 2009-09-29 |
| 1104084854 | Stalzer Chiropractic Inc. | Chiropractor | 26560 Agoura Rd, #113, Calabasas, CA 91302-1926 | 2008-05-29 |
| 1124216775 | Craig Harry Diamond | Chiropractor | 23693 Calabasas Rd, Calabasas, CA 91302-1502 | 2007-10-09 |
| Find all providers in CALABASAS | ||||
Please comment or provide details below to improve the information on BILLY MIKEL LONG.
| 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.