| Linda Marie Long, FNP-BC | |
|
187 Avenida La Pata, San Clemente, CA 92673-6307 | |
| (949) 528-4758 | |
| (949) 288-0432 |
| Full Name | Linda Marie Long |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 187 Avenida La Pata, San Clemente, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104094937 | NPI | - | NPPES |
| CA131622 | Other | CA | MEDICARE IDENTIFICATION NUMBER (PTAN) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95000750 (California) | Primary |
| Entity Name | Direct Medical Ventures Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831700046 PECOS PAC ID: 9638597354 Enrollment ID: O20200913000010 |
| Entity Name | Align Health Nursing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740042670 PECOS PAC ID: 4789023318 Enrollment ID: O20240416001970 |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Marie Long, FNP-BC Po Box 73236, San Clemente, CA 92673-0107 Ph: (949) 528-4758 | Linda Marie Long, FNP-BC 187 Avenida La Pata, San Clemente, CA 92673-6307 Ph: (949) 528-4758 |
Katarzyna Anna Hudson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673 Phone: 714-348-6790 | |
Mrs. Kellie Christine Atkins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Via Plumosa, San Clemente, CA 92673 Phone: 949-291-9617 | |
Dr. Bimisa Chata Augustin, DNP, MSN, APRN,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2719 S El Camino Real, San Clemente, CA 92672 Phone: 737-377-1600 Fax: 949-569-1295 | |
Mrs. Victoria Lynn Whalen, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673 Phone: 866-389-2727 | |
Sonia Gordon Luckey, DNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673 Phone: 949-494-8426 | |
Cinthia Irene Walker, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 N El Camino Real Ste 100, San Clemente, CA 92672 Phone: 858-522-0145 |