Active NPI
Xuan Ly, MS, SLP-CCC
- Speech-Language Pathologist
- Malibu, CA
National Provider Identifier
1801268768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 23028
- Practice address
- 23901 Civic Center Way Apt 131
Malibu, CA 90265-4884 - Phone
- (310) 874-9854
- NPI assigned
- Oct 30, 2015
- Last updated
- Oct 30, 2015
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 23028 | CA | Primary |
Addresses
Primary practice location
23901 Civic Center Way Apt 131
Malibu, CA 90265-4884
Mailing address
23901 Civic Center Way Apt 131
Malibu, CA 90265-4884
Phone (310) 874-9854
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23028 | CA | MD | General Practice Dentistry |
| SP 23028 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1801268768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23901 CIVIC CENTER WAY APT 131",
"city": "MALIBU",
"state": "CA",
"postal_code": "902654884",
"telephone_number": "310-874-9854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23901 CIVIC CENTER WAY APT 131",
"city": "MALIBU",
"state": "CA",
"postal_code": "902654884",
"telephone_number": "310-874-9854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "XUAN",
"credential": "MS, SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-30",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 23028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malibu, CA
- Bruce Lockwood, M.D.
- Los Angeles County Department of Mental Health (Campus Vernon Kilpatrick)
- Heather Ashly Louks, L.AC
- Luminance Health Group, Inc.
- Luxury Rehab Group, LLC. (Seasons in Malibu)
- M T Rezai PC
- Michael Maguire, AC
- Malibu Beach Recovery Center, LLC
- Malibu Beach Recovery Center, LLC (RiverMend Health, LLC)
- Malibu Detox, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.