EDUARDO LONGSWORTH
NPI 1871242669
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

Q: What is Eduardo Longsworth's NPI number?

The NPI number for Eduardo Longsworth is 1871242669. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Q: What is Eduardo Longsworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment

1481 WINDSOR DR, SAN BERNARDINO, CA 92404(909) 361-6470 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2026, May 27, 2025, Jun 22, 2023 (3 updates tracked since 2023).

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About Eduardo Longsworth NPPES

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

EDUARDO LONGSWORTH (NPI 1871242669) is an individual psychiatric/mental health provider in San Bernardino, California, licensed in California (95025356) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871242669

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameEDUARDO LONGSWORTH

Location Address1481 WINDSOR DRSan Bernardino, CA 92404-5416

Mailing Address14135 Main St Ste 301Hesperia, CA 92345-8095 · Fax (760) 947-3257

Phone(909) 361-6470

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 21, 2022

Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2026

✔ NPI 1871242669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95025356

Also ListedRegistered NurseTaxonomy 163W00000X · License 95182846 (CA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95025356 (CA)

1481 WINDSOR DR, San Bernardino, CA 92404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eduardo Longsworth 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 ID2769921725

PECOS Enrollment IDI20240822002163

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.

Medicare Billing Reassignments

Medicare enrollment records show Eduardo Longsworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - Psychiatry PC

6.1 mi

Psychiatry

400 N PEPPER AVE
Colton, CA 92324

Reassigned Medicare billing, California enrollment
208 clinicians in this Medicare group

NPI 1306408000 (909) 580-1000

Southern California Permanente Medical Group

10 mi

Health Maintenance Organization

9961 SIERRA AVE
Fontana, CA 92335

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1689606196 (909) 427-3910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MANNY BRICE KELLY LPT

Licensed Psychiatric Technician