Active NPI
Nancy L Ly, M.D.
- Cardiovascular Disease Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A125595
- Practice address
- 1200 N State St
CT-A7D
Los Angeles, CA 90033-1029 - Phone
- (323) 226-7556
- Fax
- (323) 226-2657
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | A125595 | CA | Primary |
Addresses
Primary practice location
1200 N State St
CT-A7D
Los Angeles, CA 90033-1029
Mailing address
765 Medical Center CT Ste 211
Chula Vista, CA 91911-6600
Phone (619) 616-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113856 | Other | CA | SID # 113856 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1415 E 8TH St
Suite 5
National City, CA 91950-2663
Phone (619) 434-4288
751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 81.48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125595 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy Ly MD AMC | Cardiovascular Disease | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Cardiology and Vascular Clinic of San Diego, AMC | Cardiovascular Disease | Past | Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
754 Medical Center Ct
Ste 101
Chula Vista, CA 91911
Phone (619) 421-3313
1415 E 8th St
Ste 4
National City, CA 91950
502 Euclid Ave
Ste 104
National City, CA 91950
Phone (619) 244-1506
1415 E 8th St
Ste 5
National City, CA 91950
Phone (619) 474-1822
4844 University Ave
Ste A
San Diego, CA 92105
Phone (619) 280-3500
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Cardiovascular Disease Physician
- National City, CA
- NPI 1023504610
-
- Interventional Cardiology Physician
- National City, CA
- NPI 1265160949
Cardiovascular Disease
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1295007144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 MEDICAL CENTER CT STE 211",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116600",
"telephone_number": "619-616-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "CT-A7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-226-7556",
"fax_number": "323-226-2657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "NANCY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A125595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SID # 113856",
"identifier": "113856",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.