KELLY LONG


Address: 2180 Valley Blvd, Pomona, CA 91768-3325
Phone: 9098652336

KELLY LONG (NPI# 1720649676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720649676
Entity Type Individual
Full Name KELLY LONG
Credential LVN
Practice Address 2180 Valley Blvd
Pomona
CA 91768-3325
Practice Telephone 9098652336
Practice Fax Number 9096295294
Mailing Telephone 9098652336
Mailing Fax Number 9096295294
Enumeration Date 2019-06-21
Last Update Date 2019-06-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse VN204910 CA Nursing Service Providers

Other Providers KELLY LONG

NPI Name Taxonomy Address Enumeration
1013551894 Kelly Denise Long Physical Therapist 6410 Diamond Rock Dr, Katy, TX 77449-4241 2019-11-04
1316319148 Kelly Long Occupational Therapist 1906 Kenwood Ave, Charlotte, NC 28205-3646 2015-10-20
1013189703 Kelly Elizabeth Long Counselor 115 W 5th, Emporia, KS 66801 2008-04-02
1366949539 Kelly Mckinley Long Student in an Organized Health Care Education/Training Program 477 Cooper Rd Ste 300, Westerville, OH 43081-8057 2018-04-12
1447551817 Kelly Patricia Long Nurse Practitioner 900 E 13th St, Suite 101, Grove, OK 74344-2975 2010-11-16
1871808303 Kelly A Long Nurse Practitioner 1025 Straka Ter, Oklahoma City, OK 73139-2544 2010-08-09
1447408133 Kelly Long Counselor 615 Shipyard Blvd, Wilmington, NC 28412 2008-09-05
1568623338 Kelly Lynn Long Physician Assistant 10909 Hannan Rd, Romulus, MI 48174-1383 2008-06-24
1457564726 Kelly Long Counselor 15303 St. Rt 170, East Liverpool, OH 43920-9216 2007-05-07
1457438905 Kelly Ann Long Audiologist 15 Exchange Dr, Lugoff, SC 29078-9198 2006-11-01

Office Location

Street Address 2180 VALLEY BLVD
City POMONA
State CA
Zip Code 91768-3325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710029780 Robert Leo Quesada Counselor 2180 Valley Blvd, Pomona, CA 91768-3325 2007-02-13
1710592308 Emma Margarita Lopez Counselor 2180 Valley Blvd, Pomona, CA 91768-3325 2020-09-10
1144840968 Yan Chen Registered Nurse 2180 Valley Blvd, Pomona, CA 91768-3325 2020-04-22
1417577594 Kiriam Alfaro Licensed Practical Nurse 2180 Valley Blvd, Pomona, CA 91768-3325 2020-04-20
1437781598 Ana Torres Counselor 2180 Valley Blvd, Pomona, CA 91768-3325 2020-02-06
1043841745 Alex Sarpong Licensed Psychiatric Technician 2180 Valley Blvd, Pomona, CA 91768-3325 2020-01-31
1760013064 Marquita Monique Carter Counselor 2180 Valley Blvd, Pomona, CA 91768-3325 2020-01-27
1932730249 Eva Cristina Jimenez Morones Registered Nurse 2180 Valley Blvd, Pomona, CA 91768-3325 2020-01-27
1700427655 Janet Sylvia Ortega Registered Nurse 2180 Valley Blvd, Pomona, CA 91768-3325 2019-10-02
1659921666 Xavier Martinez Licensed Vocational Nurse 2180 Valley Blvd, Pomona, CA 91768-3325 2019-09-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699385971 Behavioral Health Services, Inc. Substance Abuse Rehabilitation Facility 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 2020-08-03
1427690338 Sharon Beatrice Moreno Counselor 2180 Valley Bvld, Pomona, CA 91768 2019-10-11
1710492087 Freddie Lee Dominguez Counselor 2180 W Vally Blvd, Pomona, CA 91768 2017-12-08
1205350295 Angie Lorraine Gallego-arellano Case Manager/Care Coordinator 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 2017-08-01
1154851913 Maria Concepcion Galvez Counselor 2180 W Valley Blvd, Pomona, CA 91768 2017-06-14
1689107500 Margie Moreno Interpriting Services Case Management 675 North Park Avenue, Pomona, CA 91768 2017-04-07
1386006864 Evelyn Benitez Marriage & Family Therapist 1023 Groff St, Pomona, CA 91768 2016-03-24
1962891291 Consuelo Rivera Aguilar Speech-Language Pathologist 651 North Main Street, Pomona, CA 91768 2015-01-09
1134557648 Rodolfo Perez Jr. Nurse Practitioner 1196 North Park Ave, Pomona, CA 91768 2013-10-18
1588008361 Medi-cure Health Services Counselor 1921 West Arroyo Street, Pomona, CA 91768 2013-04-23
Find all providers in zip 91768

Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255972469 Kamasha Monique Tanner Licensed Vocational Nurse 1745 Blue Ridge Dr, Pomona, CA 91766-4111 2019-09-30
1316509797 Helen Haekyung Hwang Licensed Vocational Nurse 355 E Phillips Blvd, Pomona, CA 91766-4570 2019-07-05
1811445026 Vena Aquino Baybay Licensed Vocational Nurse 1782 Rockview Way, Pomona, CA 91766-5285 2016-09-16
1124395116 Jonathan Blic Arpon Masayon Licensed Vocational Nurse 2018 Las Vegas Ave Apt 9, Pomona, CA 91767-2735 2011-11-19
1346522349 Felisa B Phillips Licensed Vocational Nurse 568 Wisconsin St, Pomona, CA 91768-3639 2011-09-15
1023310943 Yesica Xiomara Ponce Licensed Vocational Nurse 2226 Concord Ave, Pomona, CA 91768-1018 2010-11-29
1043497365 Selina Lopez Flores Licensed Vocational Nurse 1905 Yorba Dr, Pomona, CA 91768-1556 2008-01-29
1730377755 Wendell Owen Findley Licensed Vocational Nurse 1204 W Mission Blvd, Pomona, CA 91766-1344 2007-10-04
1619163979 Terri Ellyn Wakefield Licensed Vocational Nurse 272 San Luis St, Pomona, CA 91767-2712 2007-09-20
1235252503 Sandra Veronica Gallardo Licensed Vocational Nurse 513 E La Verne Ave, Pomona, CA 91767-2809 2007-04-09
Find all providers in POMONA

Competitor

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City POMONA
Zip Code 91768

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Dataset Information

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.

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