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THERESA A LONGO MD
NPI 1902990518
Pediatrics - Pediatric Critical Care Medicine in Riverside, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
17575 WICKER WAY, RIVERSIDE, CA 92504(951) 780-9389(951) 780-9389 Get Directions Write a Review

NPPES record last updated: December 26, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Theresa A Longo Md NPPES

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

THERESA A LONGO MD (NPI 1902990518) is an individual pediatric critical care medicine provider in Riverside, California, licensed in California (G59848) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1978).

NPPES Registry Identity

NPI1902990518
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameTHERESA A LONGOCredential: MD
Location Address17575 WICKER WAYRiverside, CA 92504-9563
Mailing Address17575 Wicker WayRiverside, CA 92504-9563 · (951) 961-6529
Phone(951) 780-9389
Fax(951) 780-9389
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1978
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 26, 2022
NPPES CertifiedDecember 26, 2022
✔ NPI 1902990518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in CA · G59848
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
17575 WICKER WAY, Riverside, CA 92504
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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

Theresa A 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 ID8224178850
PECOS Enrollment IDI20250930003462
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.

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 Theresa Longo's NPI number?

The NPI number for Theresa Longo is 1902990518. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Theresa Longo located?

Theresa Longo practices at 17575 Wicker Way, Riverside, CA 92504. The listed phone number is (951) 780-9389.

What is Theresa Longo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Theresa Longo enrolled in Medicare?

Yes. Theresa 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.

When was this NPI record last updated?

The NPPES record for Theresa Longo was last updated on December 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.