Individual provider Active NPI

David Ly, MD

  • Radiation Oncology Physician
  • Visalia, CA
National Provider Identifier
1477879864
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A141368 Issued in CA
Practice address
4945 W Cypress Ave
Visalia, CA 93277-1592
Phone
(559) 624-3100
NPI assigned
Apr 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X A141368 CA Primary

Addresses

Primary practice location

4945 W Cypress Ave
Visalia, CA 93277-1592

Mailing address

4945 W Cypress Ave
Visalia, CA 93277-1592
Phone (559) 624-3100

Other identifiers 5

IdentifierTypeStateIssuer
P01536506OtherAZRAILROAD MEDICARE
QZZ000000061638OtherAZMERCY CARE
3495287OtherAZCIGNA
041529MedicaidAZ
7140968OtherAZAETNA

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
I20210326000431 CA Practitioner - Radiation Oncology 1456583467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sequoia Radiation Oncology Services, IncGroup PAC ID 8820404296, 2 clinicians

Practice addresses (Care Compare)

4945 W Cypress Ave
Suite a
Visalia, CA 93277-1592
Phone (559) 624-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141368CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Radiation Oncology Services, Inc Single Specialty CurrentSince Sep 30, 2020 Accepting new patients
Multicare Health System Single Specialty PastSince Jul 24, 2022 Accepting new patients

Locations

1443 W 7th St
Hanford, CA 93230
Phone (559) 585-7115

450 Glass Ln
Ste C
Modesto, CA 95356

4945 W Cypress Ave
Ste A
Visalia, CA 93277
Phone (559) 624-3100

Interoperability endpoints

  • Direct secure messaging: dly@kdhcd.direct.varian.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1477879864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 W CYPRESS AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932771592",
            "telephone_number": "559-624-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 W CYPRESS AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932771592",
            "telephone_number": "559-624-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A141368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01536506",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE",
            "identifier": "QZZ000000061638",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3495287",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041529",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7140968",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.