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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Phuong Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minuteclinic Diagnostic Medical Group Of Orange County Inc
12 mi
Nurse Practitioner
14330 CULVER DR
Irvine, CA 92604
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
NPI 1104013879 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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)
19121 BEACH BLVD
HUNTINGTON BEACH, CA 92648
Orange County (714) 848-1522
DOROTHY PATOSINA TAULA-FILEMU
Nurse Practitioner (Family)
19121 BEACH BLVD
HUNTINGTON BEACH, CA 92648
Orange County (714) 422-9701
MAGDY WILLIAM PHARMD
Pharmacist
19121 BEACH BLVD
HUNTINGTON BEACH, CA 92648
Orange County (714) 848-1522
JENNIFER CACERES SANTERO FNP
Nurse Practitioner (Family)
19121 BEACH BLVD
HUNTINGTON BEACH, CA 92648
Orange County (714) 848-1522
LAUREN RAE YUHON RPH
Pharmacist
19121 BEACH BLVD
HUNTINGTON BEACH, CA 92648
Orange County (714) 848-1522
GARFIELD BEACH CVS LLC
Pharmacy
19121 BEACH BLVD
HUNTINGTON BEACH, CA 92648
Orange County (714) 848-1522
ANTHONY QUANG NGUYEN RPH, PHARMD
Pharmacist
19121 BEACH BLVD
HUNTINGTON BEACH, CA 92648
Orange County (714) 848-1522
ANH DO
Pharmacist
19121 BEACH BLVD
HUNTINGTON BEACH, CA 92648
Orange County (714) 848-1522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Phuong Ly located?

Phuong Ly practices at 19121 Beach Blvd, Huntington Beach, CA 92648. The listed phone number is (714) 848-1522.

What is Phuong Ly's specialty?

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

Is Phuong Ly enrolled in Medicare?

Yes. Phuong Ly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phuong Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phuong Ly reassigns Medicare benefits to Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phuong Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.