Kelly Ly, PA-C
Physician Assistant · West Covina, CA
Kelly Ly, PA-C is a physician assistant with a practice address in West Covina, California, and NPI 1912742552, issued on Jun 26, 2024. Check the license (California PA67134, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kelly Ly
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA67134 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1115 S Sunset Ave, West Covina, CA 91790
- Phone
- (626) 962-4011
- Enumerated
- Jun 26, 2024
- Record last updated
- Feb 17, 2026
- Medicare enrollment
- Enrolled (PECOS I20260405000098); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Also registered at 1115 S Sunset Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Noel Benedict Bautista, MDStudent in an Organized Health Care Education/Training Program1972436376
- Gilbert Benitez, PAEmergency Medicine Physician1184678245
Verify Kelly Ly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PA67134Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kelly Ly among 14,451 physician assistant records in California
Kelly Ly, PA-C is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 87% of them.
- NPI issued2024 · 87% of these records are older, 7% newer
- In a Medicare fileNo · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2025 · median 2018 among the 7,214 with a school on file
- Record last updated2026 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
51 physician assistant records list a practice address in West Covina
They are 51 of the 2,450 NPPES records with a practice address in West Covina, and 14,451 physician assistant records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 14,451 in California → Every provider in West Covina → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Kimberly Amato, PACWest Covina, CA 917901477505014
- Patricia Breen-McDonoughWest Covina, CA 917901861484685
- Darrell Carter, P.A.West Covina, CA 917901407047756
- Ann Du, PACWest Covina, CA 917901841382314
- Patrick Duke, PA-CWest Covina, CA 917901619990447
- Diana Fernandez, P.A.West Covina, CA 917901235377367
- Amalia Galvez Tristan, PA-CWest Covina, CA 917901750566410
- Miriam Ha, P.A.West Covina, CA 917901013045558
Common questions
What is Kelly Ly, PA-C's NPI number?
Kelly Ly, PA-C's National Provider Identifier (NPI) is 1912742552, issued on Jun 26, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Ly, PA-C located?
The NPPES record lists a practice address at 1115 S Sunset Ave, West Covina, CA, 91790. Phone: (626) 962-4011. Providers update this record themselves, so call before visiting.
How can I verify Kelly Ly, PA-C's license?
NPPES lists California license number PA67134, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.