DENNIS TAM MINH LY NP
NPI 1366248742
Nurse Practitioner - Psychiatric/Mental Health in Anaheim, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Dennis Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92804
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Coast Medical P C
- 24 clinicians in this Medicare group
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 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.
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.
ANAHEIM, CA 92804
ANAHEIM, CA 92804
ANAHEIM, CA 92804
ANAHEIM, CA 92804
ANAHEIM, CA 92804
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.
Which organization bills Medicare for Dennis Ly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dennis Ly reassigns Medicare benefits to Coast Medical, PC (Anaheim, 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 Dennis 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 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 9 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.
# Dennis Tam Minh Ly, NP · NPI 1366248742
Psychiatric/Mental Health physician in Anaheim, California. Individual provider, active in the CMS NPPES registry since February 25, 2025.
## Identity
- **NPI:** 1366248742 (Entity type: Individual)
- **Enumerated:** February 25, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95036319 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1720 W BALL RD STE 4C, Anaheim, CA 92804-5591
- **Phone:** (714) 683-1472
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Coast Medical, PC (NPI 1780435628, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 22, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1366248742) · Data from the CMS NPPES public registry.