DENNIS TAM MINH LY NP
NPI 1366248742
Nurse Practitioner - Psychiatric/Mental Health in Anaheim, CA

Active since February 25, 2025PECOS EnrolledAccepts Medicare Assignment
1720 W BALL RD STE 4C, ANAHEIM, CA 92804(714) 683-1472 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Nov 21, 2025, Aug 6, 2025 and 1 more (4 updates tracked since 2025).

About Dennis Tam Minh Ly Np NPPES

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

DENNIS TAM MINH LY NP (NPI 1366248742) is an individual psychiatric/mental health provider in Anaheim, California, licensed in California (95036319) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366248742
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDENNIS TAM MINH LYCredential: NP
Location Address1720 W BALL RD STE 4CAnaheim, CA 92804-5591
Mailing Address2011 Humford AveHacienda Heights, CA 91745-3428
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 25, 2025
Last NPPES UpdateJanuary 22, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
NPI 1366248742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95036319
1720 W BALL RD STE 4C, Anaheim, CA 92804

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dennis Tam Minh Ly Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325545023
PECOS Enrollment IDI20251008003518
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 92804 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 7

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

Nurse Practitioner (Psychiatric/Mental Health)
1720 W BALL RD STE 4C
ANAHEIM, CA 92804
Nurse Practitioner (Psychiatric/Mental Health)
1720 W BALL RD STE 4C
ANAHEIM, CA 92804
Nurse Practitioner (Psychiatric/Mental Health)
1720 W BALL RD STE 4C
ANAHEIM, CA 92804
Nurse Practitioner (Psychiatric/Mental Health)
1720 W BALL RD STE 4C
ANAHEIM, CA 92804
Nurse Practitioner (Psychiatric/Mental Health)
1720 W BALL RD STE 4C
ANAHEIM, CA 92804
Psychiatry & Neurology (Psychiatry)
1720 W BALL RD STE 4C
ANAHEIM, CA 92804
Nurse Practitioner (Psychiatric/Mental Health)
1720 W BALL RD STE 4C
ANAHEIM, CA 92804

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 Dennis Ly's NPI number?

The NPI number for Dennis Ly is 1366248742. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Where is Dennis Ly located?

Dennis Ly practices at 1720 W Ball Rd Ste 4C, Anaheim, CA 92804. The listed phone number is (714) 683-1472.

What is Dennis Ly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dennis Ly enrolled in Medicare?

Yes. Dennis Ly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dennis Ly was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.