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

Individual provider Hematology & Oncology Physician · NPI 1619659539

Skylar Long, PA is a Physician Assistant in Los Angeles, California. Qualified in 2023, 3 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12414 Exposition Blvd
Los Angeles, CA 90064-1016
Phone: (310) 228-6400
Fax: (310) 272-7656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 62967 (CA)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence PA62967 (CA)

Record details

NPI number1619659539
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 1, 2023
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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