Kim Ly, PA-C - Physician Assistant in Fountain Valley, CA

Kim Ly, PA-C is a Physician Assistant based in Fountain Valley, California. Kim Ly is licensed to practice in * (Not Available) (license number ) and her current practice location is 18111 Brookhurst St Ste 3100, Fountain Valley, California. She can be reached at her office (for appointments etc.) via phone at (714) 378-7390.

NPI number for Kim Ly is 1043017569 and her current mailing address is 12522 Shelley Dr Apt 6, Garden Grove, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043017569.

Contact Information

Kim Ly, PA-C
18111 Brookhurst St Ste 3100,
Fountain Valley, CA 92708-6728
(714) 378-7390
Not Available

Map and Direction




Provider's Profile

Full NameKim Ly
GenderFemale
SpecialityPhysician Assistant
Location18111 Brookhurst St Ste 3100, Fountain Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043017569
  • Provider Enumeration Date: 03/03/2025
  • Last Update Date: 06/01/2025

Medical Identifiers

Medical identifiers for Kim Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043017569NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Ly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim Ly, PA-C
12522 Shelley Dr Apt 6,
Garden Grove, CA 92840-4940

Ph: (714) 837-0386
Kim Ly, PA-C
18111 Brookhurst St Ste 3100,
Fountain Valley, CA 92708-6728

Ph: (714) 378-7390

Reviews and Comments


Physician Assistant Nurses in Fountain Valley, CA

Ashley Junepauline Salazar, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 18111 Brookhurst Street, Suite 5600, Fountain Valley, CA 92708
Phone: 714-861-4666    Fax: 714-861-4682
Mr. Thai Seng Phou, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 11190 Warner Ave Ste 306, Fountain Valley, CA 92708
Phone: 714-432-9990    
Amal Elali, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 11180 Warner Ave Ste 467, Fountain Valley, CA 92708
Phone: 714-432-9200    
Jasmine Iris Li, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 17271 Brookhurst St, Fountain Valley, CA 92708
Phone: 972-854-8765    
Kaitlyn Phuong Nguyen, P.A.C.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 17220 Newhope St, #125, Fountain Valley, CA 92708
Phone: 714-435-0600    
Leah M Vergara, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 11160 Warner Ave Ste 311, Fountain Valley, CA 92708
Phone: 714-850-7300    Fax: 714-850-7310

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.