Malica Ly
NPI 1083222988 · Audiologist · Santa Rosa, CA
Enrolled with Medicare as Practitioner - Qualified Audiologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Malica Ly is a Audiologist provider in Santa Rosa, CA (NPI 1083222988).
Provider details
- NPI number
- 1083222988
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 13592 (CA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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)
- 1260 Healdsburg Ave Ste 202Healdsburg, CA 95448-3409Phone: (707) 433-0705Fax: (707) 433-0705
Registry dates
- Enumerated
- 2020-07-16
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Frequently asked questions
- What is Malica Ly's NPI number?
- Malica Ly's National Provider Identifier (NPI) is 1083222988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Malica Ly's specialty?
- Malica Ly is listed in the NPPES registry with a primary specialty of Audiologist (Speech, Language and Hearing Service Providers).
- Where is Malica Ly located?
- Malica Ly's practice location on file with NPPES is 4725 Hoen Ave Ste B, Santa Rosa, CA 95405-9405.
- What is Malica Ly's phone number?
- The practice phone number listed in the NPPES registry for Malica Ly is (707) 542-1154.
- Does Malica Ly accept Medicare?
- Malica Ly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Malica Ly's NPI active?
- Yes — Malica Ly's NPI (1083222988) is active in the NPPES registry as of the last update on 2020-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.