Individual provider · Type 1 NPI

Theresa Adelaide Longo, MD

Pediatric Critical Care Medicine Physician · Roseville, CA

NPI number 1902990518 Active

Practice location

1 Medical Plaza Dr
Roseville, CA 95661-3037

Call (916) 733-3777 Map

Fax (916) 454-9780

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice locations

  • 17575 Wicker Way, Riverside, CA 92504-9563 · (951) 780-9389

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician Primary 2080P0203XG59848 (CA)

Pediatric Critical Care Medicine Physician: 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…

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About NPI 1902990518

Theresa Adelaide Longo, MD's National Provider Identifier is 1902990518, issued on Oct 3, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Roseville, CA. The record was last updated on Sep 15, 2026.