Individual provider Active NPI

Ngoc Phuong Ly, MD, MPH

  • Pediatric Pulmonology Physician
  • San Francisco, CA
National Provider Identifier
1730113820
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
A100697 Issued in CA
Practice address
400 Parnassus Ave
2ND Floor
San Francisco, CA 94143-2202
Phone
(415) 353-2559
Fax
(415) 353-2466
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X A100697 CA Primary

Addresses

Primary practice location

400 Parnassus Ave
2ND Floor
San Francisco, CA 94143-2202

Mailing address

521 Parnassus Ave
C-344
San Francisco, CA 94143-2206
Phone (415) 476-4979

Other identifiers 3

IdentifierTypeStateIssuer
469767OtherMATUFS HEALTH PLAN
J27996OtherMABCBS MA
2079976MedicaidMA

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
I20071204000176 CA Practitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 7911973292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Pediatric Medicine
Education
University of Rochester School of Medicine and Dentistry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Pediatrics AssociatesGroup PAC ID 6204749112, 102 clinicians

Practice addresses (Care Compare)

1975 4TH St
San Francisco, CA 94143-2351
Phone (415) 476-1000

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213296MAMDClinical Social Worker
A100697CAMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatric Pulmonology Current Accepting new patients
University of California San Francisco CurrentSince May 18, 2009 Accepting new patients
UCSF Pediatrics Associates Pediatric Pulmonology CurrentSince May 30, 2011 Accepting new patients
University of California San Francisco CurrentSince May 18, 2009 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 1, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 1, 2018 Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

400 Parnassus Ave
Fl 2
San Francisco, CA 94143
Phone (415) 353-2008

550 16th St
Fl 4
San Francisco, CA 94158
Phone (415) 353-7337

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

521 Parnassus Ave
#C344
San Francisco, CA 94143
Phone (415) 476-2072

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

550 16th St
Fl 5
San Francisco, CA 94158
Phone (415) 476-5153

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

550 16th St
Fl 5
San Francisco, CA 94143
Phone (415) 476-5153

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1100 Park Pl
San Mateo, CA 94403
Phone (415) 502-8940

Interoperability endpoints

  • Direct secure messaging: nly10427@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1730113820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PARNASSUS AVE",
            "address_2": "C-344",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432206",
            "telephone_number": "415-476-4979",
            "fax_number": "415-476-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE",
            "address_2": "2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-353-2559",
            "fax_number": "415-353-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "NGOC",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CA",
            "license": "A100697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFS HEALTH PLAN",
            "identifier": "469767",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J27996",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079976",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.