Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kevin Ly

Individual provider Medical Physician Assistant · NPI 1194359141

Kevin Ly is a Physician Assistant in Campbell, California. Graduated from University of California, Davis School of Medicine in 2019, 7 years ago. Practices with County of Santa Clara, a 993-clinician group and accepts Medicare assignment.

Years since qualifying
7
Trained at
University of California, Davis School of Medicine
In the registry since
2020
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Practice location Address checks out

3425 S Bascom Ave Ste 200
Campbell, CA 95008-7300
Phone: (408) 256-5292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1194359141
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2020
Last updated in NPPESFebruary 28, 2020
Certification dateFebruary 28, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice County Of Santa Clara — 993 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 13 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at County of Santa Clara

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 993 clinicians in the practice; 12 are shown here.

Other providers in Campbell