| Mrs Dominique M Ly, FNP | |
|
7933 Wren Ave, Suite D, Gilroy, CA 95020-4996 | |
| (408) 847-1739 | |
| (408) 847-5146 |
| Full Name | Mrs Dominique M Ly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 7933 Wren Ave, Gilroy, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821151143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP 15986 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Clara Valley Medical Center | San jose, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Santa Clara | 1254244973 | 824 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588721500 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dominique M Ly, FNP 1691 The Alameda, San Jose, CA 95126-2203 Ph: (408) 287-7532 | Mrs Dominique M Ly, FNP 7933 Wren Ave, Suite D, Gilroy, CA 95020-4996 Ph: (408) 847-1739 |
Mary Rabitz, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7861 Murray Ave, Gilroy, CA 95020 Phone: 408-842-1017 Fax: 408-842-4186 | |
Natasha Ahmadian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 760 Renz Ln, Gilroy, CA 95020 Phone: 408-847-1739 | |
Mary Mccafferty, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7861 Murray Ave, Gilroy, CA 95020 Phone: 408-842-1017 Fax: 408-842-4186 | |
Zulaikha Akbery, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 760 Renz Ln, Gilroy, CA 95020 Phone: 408-795-3619 Fax: 408-287-0405 | |
Aaron Ross Ledbetter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 866 Sorrento Dr, Gilroy, CA 95020 Phone: 405-590-2068 | |
Michelle Catherine Dohrmann, RN, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7520 Arroyo Cir, Gilroy, CA 95020 Phone: 408-846-2351 | |
Yvonne Agupugo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7861 Murray Ave, Gilroy, CA 95020 Phone: 408-715-3088 |