Ann Ly, MSGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC001758 Issued in CA

Practice address

11234 Anderson St Ste 6220
Loma Linda, CA 92354-2804

Phone

(909) 651-1899

Fax

(909) 651-1770

NPI assigned

Oct 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Faculty Physicians and Surgeons of Llusm

  • Orthopaedic Surgery Physician
  • Loma Linda, CA
  • NPI 1275582918
  NPD (past)

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1326810409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 ELM AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045708",
            "telephone_number": "909-601-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST STE 6220",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-651-1899",
            "fax_number": "909-651-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "ANN",
        "credential": "MSGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC001758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Elizabeth Lundgren, PA-C
• Dingxiang Luo
• Serena Shu-Yee Luong
• Jose Alfredo Lupian, RN
• Tri Thanh Luu, M.D
• Dominie Trang Ly
• Megan Danthu Ly, PHARMD
• Tamara Ly, PHARMD
• Xuan Grace L. Ly, PHARM.D.
• David Allen Lynn, RRT

• Genetic Counselor (M.S.) in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.