DR. JOHN B LONG (NPI# 1881761948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881761948 |
| Entity Type | Individual |
| Full Name | DR. JOHN B LONG |
| Credential | MD |
| Practice Address |
1 Daniel Burnham Ct San Francisco CA 94109-5455 |
| Mailing Address |
1 Daniel Burnham Ct San Francisco CA 94109 |
| Practice Telephone | 4152217056 |
| Practice Fax Number | 4152217058 |
| Mailing Telephone | 4152217056 |
| Mailing Fax Number | 4152217058 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2017-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G40974 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS | 00G792860 | 01 |
| CA | RR MEDICARE | P00080208 | 01 |
| CA | 00G409741 | 05 | |
| CA | BLUE SHIELD | 00G792860 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134606551 | John Long | Counselor | 908 Ne 4th St Ste 101, Bend, OR 97701-4646 | 2018-07-27 |
| 1932430311 | John Stanley Long | Massage Therapist | 1 River Place 650 West 42nd Street, #714 Informed Touch, New York, NY 10036 | 2010-01-25 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1942458112 | John Hunter Long | Registered Nurse | 7824 N Clarendon Ave, Portland, OR 97203-6026 | 2008-08-30 |
| 1306057773 | John L. Long | Chiropractor | 510 N River St, Seguin, TX 78155-4739 | 2007-05-25 |
| 1629284369 | John Earl Long | Emergency Medicine | 13690 Longs Landing Rd W, Jacksonville, FL 32225-5423 | 2007-05-16 |
| 1982778718 | John Edward Long | Dentist | 1096 Hicks Blvd, Suite 2, Fairfield, OH 45014-2866 | 2006-11-20 |
| 1942212444 | John Norris Long | Dentist | 2550 Kinard St, Newberry, SC 29108-2910 | 2006-08-12 |
| 1356351043 | John Charles Long Jr. | Dermatology | 155 N Nova Rd, Ormond Beach, FL 32174-5138 | 2006-08-08 |
| 1063442648 | John J Long | Anesthesiology | 2 Progress Point Pkwy Dept Of, O Fallon, MO 63368-2205 | 2006-07-03 |
| Street Address |
1 DANIEL BURNHAM CT |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94109-5455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780611426 | William Robert Campbell | Orthopaedic Surgery | 1 Daniel Burnham Ct, San Francisco, CA 94109 | 2006-06-27 |
| 1306329982 | Nidhi Vyas | Dentist | 1 Daniel Burnham Ct, San Francisco, CA 94109-5455 | 2018-09-10 |
| 1780137018 | Spring Fertility Management, LLC | Clinic/Center | 1 Daniel Burnham Ct, Suite 100c, San Francisco, CA 94109-5455 | 2016-08-03 |
| 1902275407 | Peter Charles Klatsky, M.d. Inc | Obstetrics & Gynecology | 1 Daniel Burnham Ct, Suite 110c, San Francisco, CA 94109-5455 | 2015-09-15 |
| 1073999157 | Lyndsey Cwikla | Physician Assistant | 1 Daniel Burnham Ct, Suite 205c, San Francisco, CA 94109-5455 | 2015-07-30 |
| 1164807012 | Derek Yutaka Nishimori | Dentist | 1 Daniel Burnham Ct, Ste 305-c, San Francisco, CA 94109-5455 | 2015-07-21 |
| 1467868380 | Kevin Dolan | Physical Therapist | 1 Daniel Burnham Ct, #325c, San Francisco, CA 94109-5455 | 2014-07-11 |
| 1558799973 | Ngoc Bich Tran | Dentist | 1 Daniel Burnham Ct, Suite 305, San Francisco, CA 94109-5455 | 2013-10-22 |
| 1598042590 | Kevin Mao | Physical Therapist | 1 Daniel Burnham Ct, Suite 325c, San Francisco, CA 94109-5455 | 2011-11-04 |
| 1679882567 | Joan Saxton, M.d., A Medical Corporation | Internal Medicine | 1 Daniel Burnham Ct, Suite 370c, San Francisco, CA 94109-5455 | 2010-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169738 | Emmapreet Bal | Social Worker | 750 Post Street, San Francisco, CA 94109 | 2020-09-21 |
| 1801414669 | Hegla Yakeline Fielding | Registered Nurse | Felton Institute, 1500 Franklin St, San Francisco, CA 94109 | 2020-07-08 |
| 1356991350 | Rachel Sit Wong | Technician | 1280 Ellis St. Apt. 12, San Francisco, CA 94109 | 2019-09-12 |
| 1396392502 | Laura Kathryn Strader | Student in an Organized Health Care Education/Training Program | Community Youth Center, 1038 Post Street, San Francisco, CA 94109 | 2019-08-22 |
| 1821650227 | Anita Kathleen O'shea | Community Health Worker | 730 Polk St 4th Floor, San Francisco, CA 94109 | 2019-07-05 |
| 1275015638 | Quenna G Lee | Occupational Therapist | 1948 California Street, San Francisco, CA 94109 | 2018-09-02 |
| 1659857340 | Kaihan Zhong | Marriage & Family Therapist | 1038 Post Street Community Youth Center, San Francisco, CA 94109 | 2018-07-16 |
| 1144716044 | Elaina Barulic | Marriage & Family Therapist | 2040 Gough St, San Francisco, CA 94109 | 2018-07-03 |
| 1447778048 | Yltze Pamela Cubas-moody | Dentist | 2107 Vanness Ave, San Francisco, CA 94109 | 2017-09-03 |
| 1063939387 | Ritu Sen | Counselor | 815 Hyde Street, Suite 100, San Francisco, CA 94109 | 2017-08-28 |
| Find all providers in zip 94109 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336216415 | Robert C Warren | Surgery | 3838 California St Rm 614, San Francisco, CA 94118-1508 | 2006-11-30 |
| 1740396100 | Howard Edward Denbo | Surgery | 3301 Washington St, San Francisco, CA 94118-2033 | 2006-08-21 |
| 1669482030 | Mervyn Francis Burke | Surgery | 1980 Vallejo St, San Francisco, CA 94123-4962 | 2006-08-09 |
| 1417993247 | Michael Salvatore Conte | Surgery | 400 Parnassus Ave Rm A-581, University of California, San Francisco, San Francisco, CA 94143-0222 | 2006-06-21 |
| 1033190970 | Melinda Luz Aquino | Surgery | 2250 Hayes St Ste 612, San Francisco, CA 94117-1078 | 2005-11-08 |
| 1073516860 | Sheela Thakor Patel | Surgery | 1 Shrader St, Ste 600, San Francisco, CA 94117-1018 | 2005-05-24 |
| 1447409370 | Vascular Associates of San Francisco | Surgery | One Shrader St, Suite 600, San Francisco, CA 94117-1018 | 2008-09-16 |
| 1811144025 | Bala Ramanan | Surgery | 400 Parnassus Ave, Suite A-581, San Francisco, CA 94143-2202 | 2008-08-19 |
| 1467653006 | Daniel R Nathanson | Surgery | 1 Daniel Burnham Ct, San Francisco, CA 94109-5455 | 2007-05-30 |
| 1780704353 | California Pacific Vascular Laboratory Medical Associate | Surgery | 3838 California St, Suite 612, San Francisco, CA 94118-1522 | 2007-03-29 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
Please comment or provide details below to improve the information on DR. JOHN B 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.