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DR. JUDY LY DO
NPI 1669231742
Student in an Organized Health Care Education/Training Program in Pomona, CA

Active since March 19, 2024PECOS Enrolled
1770 N ORANGE GROVE AVE STE 101, POMONA, CA 91767(909) 469-9494(909) 469-2120 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Judy Ly Do NPPES

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

DR. JUDY LY DO (NPI 1669231742) is an individual student in an organized health care education/training program in Pomona, California and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669231742
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JUDY LYCredential: DO
Location Address1770 N ORANGE GROVE AVE STE 101Pomona, CA 91767-3027
Mailing Address1770 N Orange Grove Ave Ste 201Pomona, CA 91767-3027 · (909) 469-9490
Phone(909) 469-9494
Fax(909) 469-2120
Sole ProprietorNo
Enumeration DateMarch 19, 2024
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1669231742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1770 N ORANGE GROVE AVE STE 101, Pomona, CA 91767
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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)

Dr. Judy Ly Do 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.

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.

MOHAMED ELSHARKAWY MD
Family Medicine
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Los Angeles County (909) 469-9494
KIM HOANG VU
Family Medicine (Geriatric Medicine)
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Los Angeles County (909) 469-9494
CHRISTINE KWON MD
Family Medicine (Hospice and Palliative Medicine)
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Los Angeles County (909) 469-9494
NGUYEN MINH TRUONG MD
Student in an Organized Health Care Education/Training Program
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Los Angeles County (909) 469-9494
KEITH KUSUNIS MD
Family Medicine
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Los Angeles County (909) 469-9494
SNEZANA BEGOVIC MD
Family Medicine
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Los Angeles County (909) 469-9494
ELAINE ROH MD
Family Medicine (Geriatric Medicine)
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Los Angeles County (909) 469-9494
KAYLINDA NGOC-HAN TRAN DO
Student in an Organized Health Care Education/Training Program
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Los Angeles County (909) 469-9494

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 Judy Ly's NPI number?

The NPI number for Judy Ly is 1669231742. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Judy Ly located?

Judy Ly practices at 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767. The listed phone number is (909) 469-9494.

What is Judy Ly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Judy Ly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Judy Ly was last updated on February 19, 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.