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STANFORD LY MD
NPI 1407219330
Pediatrics in Sacramento, CA

Active since March 29, 2016PECOS Enrolled
1650 RESPONSE RD, SACRAMENTO, CA 95815(916) 443-3299 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2024, Sep 9, 2019, Apr 4, 2019 and 1 more (4 updates tracked since 2016).

About Stanford Ly Md NPPES

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

STANFORD LY MD (NPI 1407219330) is an individual pediatrics provider in Sacramento, California, licensed in California (158084) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407219330
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSTANFORD LYCredential: MD
Location Address1650 RESPONSE RDSacramento, CA 95815-4807
Mailing Address1650 Response RdSacramento, CA 95815-4807 · (916) 614-4060
Phone(916) 443-3299
Sole ProprietorNo
Enumeration DateMarch 29, 2016
Last NPPES UpdateFebruary 9, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1407219330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 158084
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1650 RESPONSE RD, Sacramento, CA 95815
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanford Ly Md 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 95815 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 20

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

LIGA BIVINA
Genetic Counselor, MS
1650 RESPONSE RD
SACRAMENTO, CA 95815
Sacramento County (916) 614-4075
KATHERINE TOWERS RN, CNM, WHNP, IBCLC
Advanced Practice Midwife
1650 RESPONSE RD
SACRAMENTO, CA 95815
Sacramento County (409) 166-1452
ANGEL ALVAREZ MD
Pediatrics
1650 RESPONSE RD
SACRAMENTO, CA 95815
Sacramento County (916) 973-5000
GABRIELLE FRANCESCA RIVERA MD
Obstetrics & Gynecology
1650 RESPONSE RD
SACRAMENTO, CA 95815
Sacramento County (702) 906-4031
PAUL DAVID REYNOLDS MD
Internal Medicine
1650 RESPONSE RD
SACRAMENTO, CA 95815
Sacramento County (916) 614-4040
MS. REGINA MONNAT R.D.
Dietitian, Registered
1650 RESPONSE RD
SACRAMENTO, CA 95815
Sacramento County (916) 614-4094
DANIELLE GARHAN OT
Occupational Therapist
1650 RESPONSE RD
SACRAMENTO, CA 95815
Sacramento County (916) 614-4403
JOHN SENO
Pharmacist
1650 RESPONSE RD
SACRAMENTO, CA 95815
Sacramento County (916) 614-4565

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 Stanford Ly's NPI number?

The NPI number for Stanford Ly is 1407219330. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Stanford Ly located?

Stanford Ly practices at 1650 Response Rd, Sacramento, CA 95815. The listed phone number is (916) 443-3299.

What is Stanford Ly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stanford Ly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stanford Ly was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.