HERTHAO LY BASW
NPI 1912375676
Case Manager/Care Coordinator in Sacramento, CA

Q: What is Herthao Ly's NPI number?

The NPI number for Herthao Ly is 1912375676. It was assigned to this individual provider in the NPPES registry on September 10, 2015. The provider is also known as Kirby Ly.

Q: What is Herthao Ly's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Herthao Ly was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 10, 2015PECOS EnrolledAccepts Medicare Assignment

3737 MARCONI AVE, SACRAMENTO, CA 95821(916) 480-1801(916) 854-1809 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Herthao Ly Basw NPPES

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

HERTHAO LY BASW (NPI 1912375676) is an individual case manager/care coordinator provider in Sacramento, California and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912375676

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameHERTHAO LYCredential: BASW

Location Address3737 MARCONI AVESacramento, CA 95821-5303

Mailing Address3737 Marconi AveSacramento, CA 95821-5303 · (916) 480-1801 · Fax (916) 854-1809

Phone(916) 480-1801

Fax(916) 854-1809

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 10, 2015

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1912375676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCase ManagementTaxonomy 251B00000X

3737 MARCONI AVE, Sacramento, CA 95821

Open in Google Maps ↗

Other Names 1

Other Name (5)Kirby Ly

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

Herthao Ly Basw 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 ID3870984867

PECOS Enrollment IDI20211230001021

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.

CANA LAQUINTA GREER

Adult Companion