Active NPI
Jimmy Ly
- Counselor
- San Francisco, CA
National Provider Identifier
1124434188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 245 11TH St
San Francisco, CA 94103-3732 - Phone
- (415) 355-0311
- NPI assigned
- Jul 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
245 11TH St
San Francisco, CA 94103-3732
Mailing address
138 Willits St
Daly City, CA 94014-3864
Phone (650) 238-4613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1124434188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 WILLITS ST",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940143864",
"telephone_number": "650-238-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 11TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941033732",
"telephone_number": "415-355-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "JIMMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.