What is Queenie Ly's NPI number?

Queenie Ly's National Provider Identifier (NPI) is 1295608982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Queenie Ly's specialty?

Queenie Ly is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Queenie Ly located?

Queenie Ly's practice location on file with NPPES is 1310 Club Dr, Vallejo, CA 94592-1187.

What is Queenie Ly's phone number?

The practice phone number listed in the NPPES registry for Queenie Ly is (707) 638-5809.

Is Queenie Ly's NPI active?

Yes — Queenie Ly's NPI (1295608982) is active in the NPPES registry as of the last update on 2025-09-29.

IndividualActive

Queenie Ly

NPI 1295608982 · Physician Assistant · Vallejo, CA

Queenie Ly is a Physician Assistant provider in Vallejo, CA (NPI 1295608982).

Provider details

NPI number: 1295608982
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

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

1310 Club Dr

Vallejo, CA 94592-1187

Phone: (707) 638-5809

Approximate (ZIP-level) locationGet directions

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Mailing address