DR. MATTHEW DOUGLASS LONGACRE (NPI# 1750608303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750608303 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DOUGLASS LONGACRE |
| Credential | M.D. |
| Practice Address |
1200 N State St Los Angeles CA 90033-1029 |
| Mailing Address |
1700 E Cesar E Chavez Ave Ste 2200 Los Angeles CA 90033-2476 |
| Practice Telephone | 3232647600 |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2014-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A111961 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1200 N STATE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427678010 | Lisa Endo | Respiratory Therapist, Registered | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-23 |
| 1255951356 | Raffi Melikian | Student in an Organized Health Care Education/Training Program | 1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-04-20 |
| 1912526369 | Karra Kanaye Manier | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-15 |
| 1598384943 | David Fowler | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-15 |
| 1396364782 | Taylor Alexander Docter | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-15 |
| 1881213452 | Andrea Vijay | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-13 |
| 1720607914 | Carlo Sibayan | Respiratory Therapist, Registered | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-09 |
| 1912536376 | Huynh Nguyen | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-06 |
| 1942838305 | Peggy Jill Ebner | Student in an Organized Health Care Education/Training Program | 1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-31 |
| 1437787793 | Iris Xu | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521891 | Regents of The University of California | Orthopaedic Surgery | 10250 Santa Monica Blvd Ste 2450, Los Angeles, CA 90067-6593 | 2020-02-27 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1982106019 | Reconstructive Foot Surgeons Inc | Orthopaedic Surgery | 2080 Century Park E Ste 1508, Los Angeles, CA 90067-2018 | 2018-03-05 |
| 1881196442 | Duke Surgery Associates Inc | Orthopaedic Surgery | 10724 Wilshire Blvd Apt 408, Los Angeles, CA 90024-4461 | 2018-02-28 |
| 1598129678 | Johnathon Patrick Shaffer | Orthopaedic Surgery | 6801 Park Ter # 250, Los Angeles, CA 90045-1543 | 2016-04-05 |
| 1720472061 | Matthew Jude Steffes | Orthopaedic Surgery | 6801 Park Ter # 140, Los Angeles, CA 90045-1543 | 2015-03-25 |
| 1932598067 | Edwin Gromis | Orthopaedic Surgery | 1122 South Robertson Blvd., Los Angeles, CA 90035 | 2015-01-13 |
| 1437568250 | Edwin Gromis M.d. A Prof Corp | Orthopaedic Surgery | 1122 S. Robertson Blvd Suite 1, Los Angeles, CA 90035 | 2014-08-06 |
| 1871918474 | California Hand & Upper Extremity Specialists | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 611, Los Angeles, CA 90017-4806 | 2014-02-19 |
| 1942546783 | Ethan Joseph Alpern | Orthopaedic Surgery | 10780 Santa Monica Blvd Ste 333, Los Angeles, CA 90025-4779 | 2012-12-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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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.