Individual provider Active NPI

Samantha Dronkers, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1750803680
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54968 Issued in CA
Practice address
11801 Mississippi Ave
Los Angeles, CA 90025-6114
Phone
(858) 386-6575
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 54968 CA Primary

Addresses

Primary practice location

11801 Mississippi Ave
Los Angeles, CA 90025-6114

Mailing address

11801 Mississippi Ave
Los Angeles, CA 90025-6114
Phone (858) 386-6575

Other names 1

  • Samantha Long Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191106000852 CA Practitioner - Physician Assistant 9234461583 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Springs Hospitalist Medical Group IncGroup PAC ID 6406199868, 26 clinicians

Practice addresses (Care Compare)

1420 S Central Ave
Glendale, CA 91204-2508
Phone (818) 502-1900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54968CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brentview Medical Inc. CurrentSince Jul 12, 2019 Accepting new patients
Skinpeccable Inc. Current Accepting new patients
Compass Palliative Care, Inc CurrentSince Aug 30, 2025 Accepting new patients
Sera Ramadan, D.O., Inc Past Accepting new patients
BVM Therapy Inc. Past Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

2501 W Burbank Blvd
Ste 206
Burbank, CA 91505
Phone (818) 333-5876

11611 San Vicente Blvd
Ste GF1
Los Angeles, CA 90049
Phone (310) 820-0013

11611 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 447-6060

Interoperability endpoints

  • Direct secure messaging: samantha.long.1@27211.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1750803680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 MISSISSIPPI AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256114",
            "telephone_number": "858-386-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 MISSISSIPPI AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256114",
            "telephone_number": "858-386-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRONKERS",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "LONG",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.