Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Laurence Long, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780035220

Dr. Charles Laurence Long, MD is a Sports Medicine in Pasadena, California. Graduated from Georgetown University School of Medicine in 2016, 10 years ago. Practices with Sonora Community Hospital, a 136-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
Georgetown University School of Medicine
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Pasadena, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 703 Main St, Paterson, NJ 07503-2621 — (301) 980-2771

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence A172378 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780035220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Sonora Community Hospital — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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