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

Individual provider Surgical Physician Assistant · NPI 1508172016

Stephanie E Pongracz, PA is a Physician Assistant in Santa Monica, California. Qualified in 2010, 16 years ago. Practices with Cedars-Sinai Medical Care Foundation, a 1,696-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2010
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

2020 Santa Monica Blvd Ste 400
Santa Monica, CA 90404-2023
Phone: (310) 928-2663
Fax: (310) 315-2198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA20968 (CA)

Record details

NPI number1508172016
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 20, 2010
Last updated in NPPESDecember 9, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Cedars-Sinai Medical Care Foundation — 1696 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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