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SKYLAR LONG PA
NPI 1619659539
Physician Assistant in Los Angeles, CA

Active since August 01, 2023PECOS EnrolledAccepts Medicare Assignment
12414 EXPOSITION BLVD, LOS ANGELES, CA 90064(310) 228-6400(310) 272-7656 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Oct 19, 2023 (2 updates tracked since 2023).

About Skylar Long Pa NPPES

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

SKYLAR LONG PA (NPI 1619659539) is an individual physician assistant in Los Angeles, California, licensed in California (62967) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619659539
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSKYLAR LONGCredential: PA
Location Address12414 EXPOSITION BLVDLos Angeles, CA 90064-1016
Mailing Address12414 Exposition BlvdLos Angeles, CA 90064-1016 · (310) 228-6400 · Fax (310) 272-7656
Phone(310) 228-6400
Fax(310) 272-7656
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 1, 2023
Last NPPES UpdateApril 18, 20252 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
✔ NPI 1619659539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 62967
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License PA62967 (CA)
12414 EXPOSITION BLVD, Los Angeles, CA 90064
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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

Skylar Long Pa 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 ID8224483789
PECOS Enrollment IDI20250221003376
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN COHEN MS, RDN
Dietitian, Registered
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 272-7640
JACQUELINE TIEN HSIN CHU PA
Physician Assistant
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 272-7640
DR. DAVID B AGUS M.D.
Internal Medicine (Medical Oncology)
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 272-7640
MRS. MARY CHUNG-NING DUONG PAC
Physician Assistant
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 272-7640
DR. MITCHELL GROSS M.D.
Internal Medicine (Medical Oncology)
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 272-7640
DR. MATTHEW WAYNE JUNG MD
Internal Medicine
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 272-7640
KELLY LEE SANTORO PA
Physician Assistant
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 272-7640

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 Skylar Long's NPI number?

The NPI number for Skylar Long is 1619659539. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Skylar Long located?

Skylar Long practices at 12414 Exposition Blvd, Los Angeles, CA 90064. The listed phone number is (310) 228-6400.

What is Skylar Long's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Skylar Long enrolled in Medicare?

Yes. Skylar Long 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 Skylar Long was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.