Kim Ly, PA-C
NPI 1043017569 · Physician Assistant · Fountain Valley, CA
Kim Ly, PA-C is a Physician Assistant provider in Fountain Valley, CA (NPI 1043017569).
Provider details
- NPI number
- 1043017569
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 12522 Shelley Dr Apt 6Garden Grove, CA 92840-4940Phone: (714) 837-0386
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-06-01
- Certified
- 2025-06-01
Frequently asked questions
- What is Kim Ly's NPI number?
- Kim Ly's National Provider Identifier (NPI) is 1043017569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Ly's specialty?
- Kim Ly is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kim Ly located?
- Kim Ly's practice location on file with NPPES is 18111 Brookhurst St Ste 3100, Fountain Valley, CA 92708-6728.
- What is Kim Ly's phone number?
- The practice phone number listed in the NPPES registry for Kim Ly is (714) 378-7390.
- Is Kim Ly's NPI active?
- Yes — Kim Ly's NPI (1043017569) is active in the NPPES registry as of the last update on 2025-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.