KEVIN LY (NPI# 1194359141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194359141 |
Entity Type | Individual |
Full Name | KEVIN LY |
Practice Address |
3425 S Bascom Ave Ste 200 Campbell CA 95008-7300 |
Mailing Address |
365 Louise Ct Milpitas CA 95035-6026 |
Practice Telephone | 4082565292 |
Mailing Telephone | 4089812081 |
Enumeration Date | 2020-02-28 |
Last Update Date | 2020-02-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427218247 | Kevin Ngoc Ly | Pharmacist | 120 North 85th St, Seattle, WA 98103-3602 | 2008-06-16 |
1982874301 | Kevin Somithela Ly | Anesthesiology | 8827 Monterey Oaks Dr., Elk Grove, CA 95758 | 2008-03-03 |
1396389656 | Kevin Ly | Physician Assistant | 1001 S Fort Harrison Ave Ste 101, Clearwater, FL 33756-3941 | 2019-10-30 |
1568933133 | Kevin Ly | Pharmacist | 30 College Rd, Fairbanks, AK 99701-1706 | 2018-12-07 |
1720564289 | Kevin Ly | Student in an Organized Health Care Education/Training Program | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2018-07-17 |
1831626571 | Kevin Ly | Pharmacist | 861 N Hacienda Blvd, La Puente, CA 91744-2809 | 2017-05-12 |
Street Address |
3425 S BASCOM AVE STE 200 |
City | CAMPBELL |
State | CA |
Zip Code | 95008-7300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831406081 | Kristen Slater | Psychologist | 3425 S Bascom Ave Ste 200, Campbell, CA 95008-7300 | 2010-09-09 |
1477110443 | Omobolaji Allyson Awoniyi | Nurse Practitioner | 3425 S Bascom Ave Ste 200, Campbell, CA 95008-7300 | 2019-05-23 |
1659883114 | Alan Kwan | Nurse Practitioner | 3425 S Bascom Ave Ste 200, Campbell, CA 95008-7300 | 2017-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
Find all providers in zip 95008 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659713329 | Jeweleeh Hanh Yu | Physician Assistant | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2013-07-23 |
1689838716 | Craig Alan Brammell | Physician Assistant | 221 E Hacienda Ave Ste B, Campbell, CA 95008-6625 | 2008-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.