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QUEENIE LY
NPI 1295608982
Physician Assistant in Vallejo, CA

Active since September 29, 2025
1310 CLUB DR, VALLEJO, CA 94592(707) 638-5809 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Queenie Ly NPPES

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

QUEENIE LY (NPI 1295608982) is an individual physician assistant in Vallejo, California and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1295608982
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameQUEENIE LY
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address1310 Club DrVallejo, CA 94592-1187 · (707) 638-5809
Phone(707) 638-5809
Sole ProprietorNo
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 27, 2025
✔ NPI 1295608982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1310 CLUB DR, Vallejo, CA 94592
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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.

THAO-VY THI TRAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5200
CARLY COLE
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
RICARDO CALIXTRO-LOPEZ
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ASHLEY NICOLE RITUALO CHAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
EMILY SPAIN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
AUSTIN JOE WILLIS
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ANNA NUNOO
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
MAYANKA BARATH
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809

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 Queenie Ly's NPI number?

The NPI number for Queenie Ly is 1295608982. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Queenie Ly located?

Queenie Ly practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5809.

What is Queenie Ly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Queenie Ly was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.