DAPHNE PHUONGDUNG LY (NPI# 1710151626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710151626 |
| Entity Type | Individual |
| Full Name | DAPHNE PHUONGDUNG LY |
| Other Name | DUNG PHUONG LY |
| Credential | MD |
| Practice Address |
5575 W Las Positas Blvd Ste 210 Pleasanton CA 94588-5802 |
| Practice Telephone | 9254165430 |
| Mailing Telephone | 9254165430 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A92013 | CA | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
A92013 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5575 W LAS POSITAS BLVD STE 210 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275631178 | California Surgical Associates | Specialist | 5575 W Las Positas Blvd Ste 210, Pleasanton, CA 94588-5802 | 2006-09-21 |
| 1770747784 | Nida Subhani | Internal Medicine | 5575 W Las Positas Blvd Ste 210, Pleasanton, CA 94588-5802 | 2008-07-18 |
| 1467579763 | Mary Estakhri | Surgery | 5575 W Las Positas Blvd Ste 210, Pleasanton, CA 94588-5802 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720384852 | William Yee | Surgery | 4100 Foothill Rd, Pleasanton, CA 94588-9771 | 2011-02-08 |
| 1457553281 | A P Surgical Associates Pa | Surgery | 1540 West Goodwin Street, Pleasanton, TX 78064 | 2007-06-04 |
| 1528280930 | Dat T Nguyen | Surgery | 5565 W Las Positas Blvd Ste 360, Pleasanton, CA 94588-5809 | 2007-05-03 |
| 1124626858 | Amador Surgery Center, LLC | Surgery | 1393 Santa Rita Rd, Pleasanton, CA 94566-5665 | 2020-10-14 |
| 1700343589 | Adventist Health Physicians Network | Surgery | 5725 W Las Positas Blvd Ste 200, Pleasanton, CA 94588-4007 | 2019-02-27 |
| 1396864427 | Dang Nambisan & Shah | Surgery | 5575 W Las Positas Blvd, Ste # 270, Pleasanton, CA 94588-5803 | 2007-03-28 |
| 1467579763 | Mary Estakhri | Surgery | 5575 W Las Positas Blvd Ste 210, Pleasanton, CA 94588-5802 | 2007-03-23 |
| 1801804729 | Rakhee Shah | Surgery | 5575 W Las Positas Blvd, Suite 270, Pleasanton, CA 94588-5801 | 2006-08-04 |
| 1972525053 | Carlos Rueda Gracia | Surgery | 5565 W Las Positas Blvd, Suite 220, Pleasanton, CA 94588-4001 | 2006-07-24 |
| 1306864897 | Yen-chung Andrew Lee | Surgery | 5575 W Las Positas Blvd, Ste. 210, Pleasanton, CA 94588-5801 | 2006-07-17 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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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.