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

Jason Ly, FNP

Individual provider Family Nurse Practitioner · NPI 1699438762

Jason Ly, FNP is a Nurse Practitioner in Anaheim, California. Qualified in 2021, 5 years ago. Practices with Healthcare Partners Affiliates Medical Group, a 790-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

761 S Weir Canyon Rd Ste 185
Anaheim, CA 92808-1947
Phone: (714) 282-6934
Fax: (714) 282-6935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4281 Katella Ave Ste 220, Los Alamitos, CA 90720-6506 — (562) 252-1135
  • 3460 Katella Ave, Los Alamitos, CA 90720-2334 — (562) 594-6599

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95018656 (CA)

Record details

NPI number1699438762
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 15, 2021
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Healthcare Partners Affiliates Medical Group — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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