Active NPI
Pasadyne Ly
- General Practice Dentistry
- Santa Fe Springs, CA
National Provider Identifier
1750870366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS110829
- Practice address
- 12215 Telegraph Rd Ste 111
Santa Fe Springs, CA 90670-3344 - Phone
- (562) 252-8500
- NPI assigned
- May 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS110829 | CA | Primary |
Addresses
Primary practice location
12215 Telegraph Rd Ste 111
Santa Fe Springs, CA 90670-3344
Mailing address
PO Box 102
Montebello, CA 90640-0102
Phone (323) 837-9863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS110829 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768003200000",
"number": "1750870366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906400102",
"telephone_number": "323-837-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12215 TELEGRAPH RD STE 111",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906703344",
"telephone_number": "562-252-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "PASADYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2026-01-10",
"certification_date": "2026-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS110829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.