Individual provider Active NPI

Tran To Ly, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Compton, CA
National Provider Identifier
1649422924
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A111660 Issued in CA
Practice address
2251 W Rosecrans Ave
Compton, CA 90222-3858
Phone
(424) 529-6755
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A111660 CA Primary

Addresses

Primary practice location

2251 W Rosecrans Ave
Compton, CA 90222-3858

Mailing address

2251 W Rosecrans Ave Ste 18-21
Compton, CA 90222-3858
Phone (424) 529-6755

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
I20130625000526 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 7416196357 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Family Medical Group Inc CurrentSince Nov 20, 2023 Accepting new patients
Pasadena Endocrinology, a Medical Corporation Endocrinology, Diabetes & Metabolism CurrentSince Aug 12, 2013 Accepting new patients
Veeone Medical Group II Professional Corporation CurrentSince Nov 8, 2022 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411

221 E Walnut St
Ste 115
Pasadena, CA 91101
Phone (626) 577-0505

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tran.ly.p1@direct.bfmc.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1649422924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 W ROSECRANS AVE STE 18-21",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902223858",
            "telephone_number": "424-529-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 W ROSECRANS AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902223858",
            "telephone_number": "424-529-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "TRAN",
        "middle_name": "TO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A111660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

Verify at the official NPI Registry.