DR. NICOLA LONGO MD
NPI 1275612749
Medical Genetics - Clinical Genetics (M.D.) in Los Angeles, CA

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
300 MEDICAL PLAZA SUITE 3100, LOS ANGELES, CA 90095(310) 301-8732 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Nov 18, 2021, Oct 20, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Nicola Longo Md NPPES

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

DR. NICOLA LONGO MD (NPI 1275612749) is an individual clinical genetics (m.d.) provider in Los Angeles, California, licensed in California (C196187) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1275612749
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameDR. NICOLA LONGOCredential: MD
Location Address300 MEDICAL PLAZA SUITE 3100Los Angeles, CA 90095-1287
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8732
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateNovember 3, 2006
Last NPPES UpdateJune 13, 20244 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
NPI 1275612749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License Licensed in CA · C196187
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedMedical Genetics · Clinical Biochemical GeneticsTaxonomy 207SG0202X · License 12808 (NV), 4916705-1205 (UT)
300 MEDICAL PLAZA SUITE 3100, Los Angeles, CA 90095

Secondary Practice Locations 2

Location 130 North Mario Capecchi DrSalt Lake City, UT 84112 · Phone (801) 213-3599
Location 21 Breakthrough WayLas Vegas, NV 89135-3011 · Phone (702) 732-1493 · Fax (702) 732-1080

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicola Longo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183675937
PECOS Enrollment IDI20240528002974
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
300 MEDICAL PLAZA SUITE 3100
LOS ANGELES, CA 90095
Genetic Counselor, MS
300 MEDICAL PLAZA SUITE 3100
LOS ANGELES, CA 90095
Genetic Counselor, MS
300 MEDICAL PLAZA SUITE 3100
LOS ANGELES, CA 90095
Genetic Counselor, MS
300 MEDICAL PLAZA SUITE 3100
LOS ANGELES, CA 90095
Medical Genetics (Clinical Genetics (M.D.))
300 MEDICAL PLAZA SUITE 3100
LOS ANGELES, CA 90095
Genetic Counselor, MS
300 MEDICAL PLAZA SUITE 3100
LOS ANGELES, CA 90095

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 Nicola Longo's NPI number?

The NPI number for Nicola Longo is 1275612749. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Nicola Longo located?

Nicola Longo practices at 300 Medical Plaza Suite 3100, Los Angeles, CA 90095. The listed phone number is (310) 301-8732.

What is Nicola Longo's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Nicola Longo enrolled in Medicare?

Yes. Nicola Longo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicola Longo accept?

Health plans from Ambetter from Arizona Complete Health and Select Health list Nicola Longo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicola Longo was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.