MICHELLE W LY (NPI# 1811161870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811161870 |
| Entity Type | Individual |
| Full Name | MICHELLE W LY |
| Credential | D.O. |
| Practice Address |
17772 Beach Blvd Huntington Beach CA 92647-6819 |
| Mailing Address |
Po Box 660565 Arcadia CA 91066-0565 |
| Practice Telephone | 7148435011 |
| Mailing Telephone | 6264470296 |
| Mailing Fax Number | 6264476057 |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2012-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 20A10691 | CA | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
0036120302 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | 20A10691 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285075804 | Michelle Ly | Registered Nurse | 205 N Belle Mead Rd Ste 250, East Setauket, NY 11733-3483 | 2013-07-11 |
| 1225643182 | Michelle Ly | Dietitian, Registered | 732 Harrison Ave Fl 2, Boston, MA 02118-2309 | 2020-09-08 |
| 1992328058 | Michelle Ly | Dentist | 4802 E Ray Rd Ste 19, Phoenix, AZ 85044-6410 | 2020-05-24 |
| 1588215818 | Michelle Ly | Counselor | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3617 | 2019-09-27 |
| 1609302488 | Michelle Ly | Pharmacist | 8400 Rosedale Hwy, Bakersfield, CA 93312-2151 | 2017-05-11 |
| 1730638784 | Michelle Ly | Pharmacist | 12254 Bellflower Blvd, Downey, CA 90242-2804 | 2016-09-30 |
| 1679716526 | Michelle Ly | Marriage & Family Therapist | 3636 5th Ave, Suite 203, San Diego, CA 92103-4281 | 2009-04-08 |
| 1356545008 | Michelle Chau Ly | Counselor | 160 E Virginia St, # 280, San Jose, CA 95112 | 2007-06-14 |
| Street Address |
17772 BEACH BLVD |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619957925 | The Huntington Beach Vhs Limited Partnership | General Acute Care Hospital | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2006-01-20 |
| 1790260156 | Shokoufeh Hariri | Pharmacist | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2018-10-01 |
| 1144717919 | Cep America - Psychiatry PC | Psychiatry & Neurology | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2018-04-17 |
| 1376998849 | Randall Roll | Emergency Medicine | 17772 Beach Blvd, Huntington Beach, CA 92647 | 2016-05-03 |
| 1295095420 | Beach Emergency Medical Associates, Inc. | Emergency Medicine | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2012-05-22 |
| 1659669018 | Michael Maruska | Emergency Medicine | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2011-07-19 |
| 1780986356 | Prime Healthcare Huntington Beach | Psychiatric Unit | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2010-12-02 |
| 1427359637 | Anthony M. Gonzales Md, Inc | Anesthesiology | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2010-11-04 |
| 1730346529 | Phong Thien Vu, M.d., Inc. | Anesthesiology | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2008-05-20 |
| 1861524415 | Emily Wyatt Grigsby | Emergency Medicine | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
| 1275846552 | Thomas Shelton Powers | Emergency Medicine | 18821 Delaware St, #205, Huntington Beach, CA 92648-1926 | 2010-07-15 |
| 1992989578 | Nhon Dinh | Emergency Medicine | 17762 Beach Blvd, Suite 100, Huntington Beach, CA 92647-6860 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
| 1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
| 1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
| 1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
| 1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
| 1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
| 1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
| 1013252170 | James Pointer | Emergency Medicine | 1717 Drake Ct, Petaluma, CA 94954-2365 | 2012-11-30 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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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.