DR. LISA LY DC
NPI 1881202711
Chiropractor in San Diego, CA
About Dr. Lisa Ly Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA LY DC (NPI 1881202711) is an individual chiropractor in San Diego, California, licensed in California (34861) and active in the NPI registry since July 2020.
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 (PECOS)
Dr. Lisa Ly Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
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 Lisa Ly's NPI number?
The NPI number for Lisa Ly is 1881202711. It was assigned to this individual provider in the NPPES registry on July 16, 2020.
Where is Lisa Ly located?
Lisa Ly practices at 3838 Camino Del Rio N Ste 163, San Diego, CA 92108. The listed phone number is (619) 734-9900.
What is Lisa Ly's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Lisa Ly enrolled in Medicare?
Yes. Lisa Ly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Ly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ly reassigns Medicare benefits to Reform Spine & Wellness Ly Chiropractic Corporation (San Diego, 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 Lisa 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 Lisa Ly was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Lisa Ly, DC · NPI 1881202711
Chiropractor provider in San Diego, California. Individual provider, active in the CMS NPPES registry since July 16, 2020.
## Identity
- **NPI:** 1881202711 (Entity type: Individual)
- **Enumerated:** July 16, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 34861 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3838 CAMINO DEL RIO N STE 163, San Diego, CA 92108-1762
- **Phone:** (619) 734-9900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Reform Spine & Wellness Ly Chiropractic Corporation (NPI 1326982638, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1881202711) · Data from the CMS NPPES public registry.