DR. PETER PHONG LY (NPI# 1588684724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588684724 |
| Entity Type | Individual |
| Full Name | DR. PETER PHONG LY |
| Credential | M.D. |
| Practice Address |
8016 2nd St Downey CA 90241-3622 |
| Mailing Address |
14120 Alondra Blvd Suite C Santa Fe Springs CA 90670-5820 |
| Practice Telephone | 5628627744 |
| Mailing Telephone | 5624072080 |
| Mailing Fax Number | 5624072082 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A65780 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A65780 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A657800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254396 | Peter N. Ly | Podiatrist | 7717 N. Orange Prairie Road, Peoria, IL 61615 | 2005-06-09 |
| 1356838494 | Peter James Ly | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester Hills, MI 48307-1863 | 2018-04-14 |
| 1518405745 | Peter Paul Ly | Physical Therapist | 504 6th Ave Nw, New Prague, MN 56071-1134 | 2017-02-08 |
| 1386881951 | Peter Danh Ly | Psychiatry & Neurology | 17625 El Camino Real Ste 250, Houston, TX 77058-3085 | 2009-01-19 |
| 1356403448 | Peter Henphuc Ly | Psychologist | 611 S Milpitas Blvd, Milpitas, CA 95035-5473 | 2006-12-14 |
| Street Address |
8016 2ND ST |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-3622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427078781 | Jose M Diaz | Pediatrics | 8016 2nd St, Downey, CA 90241-3622 | 2006-07-20 |
| 1912442161 | The Harvard Pain Institute | Pain Medicine | 8016 2nd St, Downey, CA 90241-3622 | 2016-12-27 |
| 1013248152 | Eye Pod Optometry, Inc. | Optometrist | 8016 2nd St, Downey, CA 90241-3622 | 2010-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821280710 | Phil Tsai | Anesthesiology | 7601 Imperial Hwy Dept Of, Anesthesiology, Downey, CA 90242-3456 | 2007-08-14 |
| 1467005603 | Advanced Anesthesia Medical Corp | Anesthesiology | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2019-07-17 |
| 1598154486 | Zoe Yen Ha | Anesthesiology | 11500 Brookshire Ave, Downey, CA 90241 | 2015-01-15 |
| 1831439231 | Omar Iqbal Ahmed | Anesthesiology | 9333 Imperial Hwy, Department of Anesthesiology, Downey, CA 90242-2812 | 2013-02-21 |
| 1043535966 | Christine C Chavez-eslao | Anesthesiology | 9333 Imperial Highway, Downey, CA 90242 | 2010-04-03 |
| 1417196429 | Chau D Nguyen | Anesthesiology | 9333 Imperial Hwy, Downey, CA 90242 | 2009-02-13 |
| 1457522914 | Gary P. Mccaughan, M.d., Inc | Anesthesiology | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2008-03-12 |
| 1861663338 | William Park, M.d., Inc | Anesthesiology | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2008-03-12 |
| 1194917229 | Kelly J. Murray | Anesthesiology | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2007-08-13 |
| 1982809307 | Rebecca Chan | Anesthesiology | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2007-06-16 |
| Find all providers in DOWNEY | ||||
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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.