Active NPI
Chengyeng Ly
- Nurse's Aide
- Sacramento, CA
National Provider Identifier
1306035449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 4600 Broadway
Suite 2200
Sacramento, CA 95820-1527 - Phone
- (916) 874-9664
- Fax
- (916) 874-3620
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
4600 Broadway
Suite 2200
Sacramento, CA 95820-1527
Mailing address
4600 Broadway
Suite 2200
Sacramento, CA 95820-1527
Phone (916) 874-9664
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": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1306035449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 BROADWAY",
"address_2": "SUITE 2200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201527",
"telephone_number": "916-874-9664",
"fax_number": "916-874-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 BROADWAY",
"address_2": "SUITE 2200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201527",
"telephone_number": "916-874-9664",
"fax_number": "916-874-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "CHENGYENG",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.