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DR. KATHLEEN L LONG M.D.
NPI 1033177449
Pediatrics - Adolescent Medicine in San Luis Obispo, CA

Active since May 03, 2006
1235 OSOS ST, SUITE 100, SAN LUIS OBISPO, CA 93401(805) 549-0888(805) 549-8463 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen L Long M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN L LONG M.D. (NPI 1033177449) is an individual adolescent medicine provider in San Luis Obispo, California, licensed in California (A23162) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1033177449
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. KATHLEEN L LONGCredential: M.D.
Location Address1235 OSOS ST, SUITE 100San Luis Obispo, CA 93401-3600
Mailing Address1235 Osos St, Suite 100San Luis Obispo, CA 93401-3600 · (805) 549-0888 · Fax (805) 549-8463
Phone(805) 549-0888
Fax(805) 549-8463
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateMarch 14, 2008
✔ NPI 1033177449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in CA · A23162
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1235 OSOS ST, San Luis Obispo, CA 93401
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Other Identifiers 2

Medicare UPINA23413CA
Medicare PINWA123162ACA

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WANDA L LO M.D.
Pediatrics (Adolescent Medicine)
1235 OSOS ST, SUITE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0888
DR. JAMES D CORYELL M.D.
Pediatrics (Adolescent Medicine)
1235 OSOS ST, SUITE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0888
MARY F TEAGUE PA
Physician Assistant
1235 OSOS ST, SUITE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0888
DR. JULIE R ANSELMO M.D.
Pediatrics
1235 OSOS ST, SUITE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0888
DR. DALE W ROWLAND M.D.
Pediatrics (Adolescent Medicine)
1235 OSOS ST, SUITE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0888
CENTRAL COAST PEDIATRICS INC
Pediatrics
1235 OSOS ST, SUITE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0888
TAMARA J BATTLE M.D.
Pediatrics (Adolescent Medicine)
1235 OSOS ST, SUITE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0888
DR. MICHAEL J MCNERNEY M.D.
Pediatrics
1235 OSOS ST, SUITE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Long's NPI number?

The NPI number for Kathleen Long is 1033177449. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Kathleen Long located?

Kathleen Long practices at 1235 Osos St Suite 100, San Luis Obispo, CA 93401. The listed phone number is (805) 549-0888.

What is Kathleen Long's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Kathleen Long was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.