Individual provider Active NPI

Cuong Phu Ly, M.D.

  • Nephrology Physician
  • Laguna Hills, CA
National Provider Identifier
1306883053
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A73873 Issued in CA
Practice address
24221 Calle de la Louisa
Suite 300
Laguna Hills, CA 92653-7638
Phone
(949) 707-1059
Fax
(949) 465-8159
NPI assigned
Jun 1, 2006
Last updated
Nov 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A73873 CA Primary

Addresses

Primary practice location

24221 Calle de la Louisa
Suite 300
Laguna Hills, CA 92653-7638

Mailing address

PO Box 35380
Suite 400
Las Vegas, NV 89133-5380
Phone (702) 579-3203

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208001001 CA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurosurgery 9739100421 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Tufts University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saddleback Medical Group IncGroup PAC ID 5092606905, 27 clinicians
Kevin Pham MD IncGroup PAC ID 3375523277, 5 clinicians

Practice addresses (Care Compare)

24221 Calle de la Louisa
Laguna Hills, CA 92653-3642
Phone (949) 465-8155

24221 Calle de la Louisa
Suite 300
Laguna Hills, CA 92653-7637
Phone (949) 770-7163

500 S Main St
Suite 101
Orange, CA 92868-4535
Phone (714) 836-4204

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73873CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation CurrentSince Sep 1, 2018 Accepting new patients
Saddleback Medical Group Inc CurrentSince Jan 1, 2010 Accepting new patients
Kevin Pham, M.D., Inc Nephrology CurrentSince Mar 10, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Cuong Ly MD Inc Nephrology CurrentSince May 1, 2026 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Cornerhealth Medical Group Inc PastSince May 18, 2025 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Harbor-UCLA Medical Foundation, Inc Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Hospitalist Associates of Saddleback Past Accepting new patients
Nathaniel Ho, M.D. Inc Nephrology Past Accepting new patients
Advanced Hospitalist Medical Group, Inc. Past Accepting new patients
St. Joseph Hospital Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2077 Harbor Blvd
Ste 100
Costa Mesa, CA 92627
Phone (949) 740-7117

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229

16305 Sand Canyon Ave
Ste 220
Irvine, CA 92618
Phone (909) 558-2840

5581 Alton Pkwy
Irvine, CA 92618
Phone (949) 222-9158

24022 Calle de la Plata
Ste 405
Laguna Hills, CA 92653
Phone (949) 404-5647

24221 Calle de la Louisa
Ste 200
Laguna Hills, CA 92653
Phone (949) 465-8155

24221 Calle de la Louisa
Ste 300
Laguna Hills, CA 92653
Phone (949) 334-8270

24221 Calle de la Louisa
Ste 400
Laguna Hills, CA 92653
Phone (949) 465-8155

24411 Health Center Dr
Ste 680
Laguna Hills, CA 92653
Phone (949) 268-4568

500 S Main St
Ste 101
Orange, CA 92868
Phone (714) 602-7805

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cly194712@westdirect.optum.com
  • Direct secure messaging: cuong.ly.p15@direct.monarchhealthcare.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1306883053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "address_2": "SUITE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24221 CALLE DE LA LOUISA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537638",
            "telephone_number": "949-707-1059",
            "fax_number": "949-465-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "CUONG",
        "middle_name": "PHU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A73873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.