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: July 19, 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
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

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.

Physician Assistant
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Internal Medicine (Medical Oncology)
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Dietitian, Registered
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Internal Medicine (Medical Oncology)
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Physician Assistant
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Physician Assistant
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Internal Medicine
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619659539, enumerated as an "individual" on August 01, 2023.

The provider is located at 12414 EXPOSITION BLVD LOS ANGELES, CA 90064 and the phone number is (310) 228-6400.

Physician Assistant with taxonomy code 363A00000X.