Healthcare Provider Details

I. General information

NPI: 1952630378
Provider Name (Legal Business Name): REGINA M LONGINOTTI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 EMBARCADERO CTR LOBBY LEVEL
SAN FRANCISCO CA
94111-3823
US

IV. Provider business mailing address

2 EMBARCADERO CTR LOBBY LEVEL
SAN FRANCISCO CA
94111-3823
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax: 415-252-7176
Mailing address:
  • Phone: 415-578-3100
  • Fax: 415-291-0489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5006778
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2299864
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number5006778
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number23323
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: