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

Eduardo Longsworth

Individual provider Registered Nurse · NPI 1871242669

Eduardo Longsworth is a Nurse Practitioner in San Bernardino, California. Qualified in 2023, 3 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2022
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1481 Windsor Dr
San Bernardino, CA 92404-5416
Phone: (909) 361-6470
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95025356 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95182846 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95025356 (CA)

Record details

NPI number1871242669
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 21, 2022
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Bernardino