Active NPI
VI Ly, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95002110
- Practice address
- 525 N Wolfe St
Baltimore, MD 21205-2110 - Phone
- (410) 955-4766
- NPI assigned
- Jun 28, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R242988 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | 95002110 | CA | Primary |
Addresses
Primary practice location
525 N Wolfe St
Baltimore, MD 21205-2110
Mailing address
4983 Grand Ave
Montclair, CA 91763-6433
Phone (909) 630-8038
Other practice location 1
12827 Harbor Blvd Ste G1
Garden Grove, CA 92840-5839
Phone (714) 534-1685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2184 Court St
Redding, CA 96001-2530
Phone (530) 246-4444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R242988 | MD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darin Rentz DO PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| Coachella Valley Anesthesia a Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Morpheus Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287
700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830
6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500
47120 Dune Palms Rd
Ste 111
La Quinta, CA 92253
Phone (760) 219-0155
44815 Fig Ave
Ste 100
Lancaster, CA 93534
Phone (661) 802-7978
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
8741 Alden Dr
Ste B
Los Angeles, CA 90048
Phone (951) 556-2665
333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
44651 Village Ct
Ste 104
Palm Desert, CA 92260
Phone (760) 249-2222
44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400
2184 Court St
Redding, CA 96001
Phone (530) 246-1139
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
3410 La Sierra Ave
Ste F510
Riverside, CA 92503
Phone (909) 227-5139
18226 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 905-5904
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1013662048
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Redlands, CA
- NPI 1689321747
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Redding, CA
- NPI 1013561851
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Certified Registered Nurse Anesthetist
- Colton, CA
- NPI 1023529591
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Bluff, CA
- NPI 1083732853
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1346810793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4983 GRAND AVE",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917636433",
"telephone_number": "909-630-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052110",
"telephone_number": "410-955-4766"
}
],
"practiceLocations": [
{
"address_1": "12827 Harbor Blvd Ste G1",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928405839",
"country_code": "US",
"telephone_number": "714-534-1685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LY",
"first_name": "VI",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-28",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R242988",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.