PHUONG LY NP
NPI 1174063366
Nurse Practitioner - Family in Huntington Beach, CA

Q: What is Phuong Ly's NPI number?

The NPI number for Phuong Ly is 1174063366. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Q: What is Phuong Ly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Phuong Ly was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since March 07, 2017PECOS Enrolled

19121 BEACH BLVD, HUNTINGTON BEACH, CA 92648(714) 848-1522 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Phuong Ly Np NPPES

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

PHUONG LY NP (NPI 1174063366) is an individual family provider in Huntington Beach, California, licensed in California (95006259) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174063366

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePHUONG LYCredential: NP

Location Address19121 BEACH BLVDHuntington Beach, CA 92648-2307

Mailing Address19121 Beach BlvdHuntington Beach, CA 92648-2307

Phone(714) 848-1522

Sole ProprietorNo

Enumeration DateMarch 7, 2017

Last NPPES UpdateMarch 9, 2017

✔ NPI 1174063366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95006259

19121 BEACH BLVD, Huntington Beach, CA 92648

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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 (PECOS)

Phuong Ly Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92648 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

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 10

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

TERI YUN

Nurse Practitioner (Family)