Andrew Ly (NPI# 1801093554, PAC ID# 5698843100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1801093554 |
| PAC ID by PECOS | 5698843100 |
| Professional Enrollment ID | I20081010000567 |
| Full Name | Andrew Ly |
| Organization Legal Name | NEWPORT NEUROHOSPITALIST MEDICAL GROUP, INC |
| Address |
333 S Anita Dr Suite 750 Orange CA 92868-3322 |
| Phone Number | 9497641454 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 9335195148 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Address | Phone | Organization |
|---|---|---|
| 333 S Anita Dr, Suite 750, Orange, CA 92868-3322 | 9497641454 | NEWPORT NEUROHOSPITALIST MEDICAL GROUP, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | NEWPORT NEUROHOSPITALIST MEDICAL GROUP, INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Muir | Neurology | Newport Neurohospitalist Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| James Park | Neurology | Newport Neurohospitalist Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Gail Borbe Perry | Nurse Practitioner | Newport Neurohospitalist Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Victor Doan | Neurology | Newport Neurohospitalist Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Jose Puangco | Neurology | Newport Neurohospitalist Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| David Millett | Neurology | Newport Neurohospitalist Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| David M Brown | Neurology | Newport Neurohospitalist Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Street Address |
333 S ANITA DR SUITE 750 |
| City | ORANGE |
| State | CA |
| Zip | 92868-3322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kauser V Sharieff | Optometry | 20 The Citydrive W, Suite 919, Orange, CA 92868 | |
| Feraidoun Khonsari | Urology | 1140 W La Veta, Suite 605, Orange, CA 92868 | |
| Eriny Ibrahim | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Allan Kwok | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Celeste T Vergara | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Robert Bax | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Alison Grace Ramos | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| April A Lopez | Chiropractic | 2029 W Orangewood Ave, Suite A, Orange, CA 92868-1951 | |
| Barry L Marks | Chiropractic | 1745 W Orangewood Ave, Suite 114, Orange, CA 92868-2041 | |
| Bernard Wasserman | Clinical Social Worker | 1745 W Orangewood, Suite 101, Orange, CA 92868-2041 | |
| Find all physicians in zip 92868 | |||
| City | ORANGE |
| Zip Code | 92868 |
| Specialty | NEUROLOGY |
| City + Specialty | ORANGE + NEUROLOGY |
Please comment or provide details below to improve the information on Andrew Ly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.