DR. TAM VAN LY (NPI# 1720026842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720026842 |
| Entity Type | Individual |
| Full Name | DR. TAM VAN LY |
| Credential | D.C |
| Practice Address |
4950 Hamilton Ave Ste 109 San Jose CA 95130-1748 |
| Practice Telephone | 4082563865 |
| Practice Fax Number | 4085501974 |
| Mailing Telephone | 5103030807 |
| Mailing Fax Number | 4085501974 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 29804 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497061071 | Tam Ly | Student in an Organized Health Care Education/Training Program | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2010-08-20 |
| 1992858443 | Tam Thanh-thi Ly | Internal Medicine | 550 Hospital Dr, Warrenton, VA 20186-3027 | 2007-01-19 |
| Street Address |
4950 HAMILTON AVE STE 109 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95130-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609206366 | Ly Chiropractic, Inc | Chiropractor | 4950 Hamilton Ave Ste 109, San Jose, CA 95130-1748 | 2013-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599087 | Ajay Pala | Occupational Therapist | 20400 Los Gatos-saratoga Rd, Saratoga, CA 95130 | 2019-07-12 |
| 1366516205 | Irene Shuk Wong | Nurse Practitioner | 4855 Atherton Ave, San Jose, CA 95130 | 2006-11-20 |
| 1417489691 | Laura Silvester | Marriage & Family Therapist | 4950 Hamilton Ave Ste 102, San Jose, CA 95130 | 2017-03-28 |
| 1184806325 | Michael Hwa | Internal Medicine | 751 S. Bascom Ave., San Jose, CA 95130 | 2007-11-29 |
| 1114438074 | Gregory Paul Roumbanis | Marriage & Family Therapist | 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 | 2017-10-18 |
| 1013136423 | Julie Dutton | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2007-04-24 |
| 1912045840 | Scott Waddell | Chiropractor | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2007-02-02 |
| 1508423567 | Kee Jin Kwon | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-05-24 |
| 1487119525 | Sarah Gayle Sadumiano Galinato | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-02-03 |
| 1699245795 | Jim Patton | Massage Therapist | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2018-11-30 |
| Find all providers in zip 95130 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556218 | Mandy Wong | Chiropractor | 3058 Marston Way, San Jose, CA 95148-3118 | 2020-10-22 |
| 1629688619 | Deepak Rattu | Chiropractor | 1754 Technology Dr Ste 120g, San Jose, CA 95110-1308 | 2020-08-04 |
| 1902423247 | Ernest Luong | Chiropractor | 360 Kiely Blvd Ste 215, San Jose, CA 95129-1300 | 2020-07-02 |
| 1518597681 | Kevin Tri Lam | Chiropractor | 508 Senter Ct, San Jose, CA 95111-3634 | 2020-01-17 |
| 1295370823 | Elise Leung | Chiropractor | 4323 Moorpark Ave Ste A, San Jose, CA 95129-2075 | 2019-11-06 |
| 1871155291 | Jee Won Suh | Chiropractor | 1645 Willow St Ste 100, San Jose, CA 95125-5112 | 2019-07-05 |
| 1174183610 | Kathy Huynh | Chiropractor | 1261 Lincoln Ave Ste 113, San Jose, CA 95125-3030 | 2019-06-17 |
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| 1386118560 | Yang Hsiang | Chiropractor | 1733 Chesterton Cir, San Jose, CA 95133-1534 | 2019-01-22 |
| Find all providers in SAN JOSE | ||||
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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.