Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dat Ly, MD

Individual provider Anesthesiology Physician · NPI 1790791564

Dr. Dat Ly, MD is an Anesthesiology in Oakland, California. Graduated from Tufts University School of Medicine in 1995, 31 years ago. Practices with Ambulatory Consultants Medical Group Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 Hawthorne Ave
Oakland, CA 94609-3100
Phone: (510) 655-4000
Fax: (510) 869-8906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A62801 (CA)

Record details

NPI number1790791564
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESOctober 15, 2007
Mailing address350 Hawthorne Ave, Oakland, CA 94609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Ambulatory Consultants Medical Group Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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