LINDA LY
NPI 1245419316
Dentist - General Practice in San Jose, CA

Active since October 25, 2007PECOS Enrolled
55 E JULIAN ST, SAN JOSE, CA 95112(408) 918-2618 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Linda Ly NPPES

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

LINDA LY (NPI 1245419316) is an individual general practice provider in San Jose, California, licensed in California (56060) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245419316
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLINDA LY
Location Address55 E JULIAN STSan Jose, CA 95112-4007
Mailing Address5261 Arezzo DrSan Jose, CA 95138-2204 · (408) 705-6024
Sole ProprietorNo
Enumeration DateOctober 25, 2007
Last NPPES UpdateNovember 23, 2011
NPI 1245419316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 56060
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
55 E JULIAN ST, San Jose, CA 95112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Linda Ly 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 95112 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
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 20

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

Optometrist
55 E JULIAN ST
SAN JOSE, CA 95112
Nurse Practitioner
55 E JULIAN ST, MEDICAL ADMINISTRATION
SAN JOSE, CA 95112
Nurse Practitioner (Family)
55 E JULIAN ST
SAN JOSE, CA 95112
Dentist
55 E JULIAN ST
SAN JOSE, CA 95112
Obstetrics & Gynecology
55 E JULIAN ST
SAN JOSE, CA 95112
Dentist
55 E JULIAN ST
SAN JOSE, CA 95112
Physician Assistant (Medical)
55 E JULIAN ST
SAN JOSE, CA 95112
Pediatrics
55 E JULIAN ST
SAN JOSE, CA 95112

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 Linda Ly's NPI number?

The NPI number for Linda Ly is 1245419316. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Where is Linda Ly located?

Linda Ly practices at 55 E Julian St, San Jose, CA 95112. The listed phone number is (408) 918-2618.

What is Linda Ly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Linda Ly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Linda Ly was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.