What is Kelly Ly's NPI number?

Kelly Ly's National Provider Identifier (NPI) is 1912742552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Ly's specialty?

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

Where is Kelly Ly located?

Kelly Ly's practice location on file with NPPES is 1115 S Sunset Ave, West Covina, CA 91790-3940.

What is Kelly Ly's phone number?

The practice phone number listed in the NPPES registry for Kelly Ly is (626) 962-4011.

Is Kelly Ly's NPI active?

Yes — Kelly Ly's NPI (1912742552) is active in the NPPES registry as of the last update on 2026-02-17.

IndividualActive

Kelly Ly, PA-C

NPI 1912742552 · Physician Assistant · West Covina, CA

Kelly Ly, PA-C is a Physician Assistant provider in West Covina, CA (NPI 1912742552).

Provider details

NPI number: 1912742552
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No
License: PA67134 (CA)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense PA67134 (CA)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(56/100 index)

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

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% 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

1115 S Sunset Ave

West Covina, CA 91790-3940

Phone: (626) 962-4011

Street-level locationGet directions

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Mailing address