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

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

Practice location Address checks out

3425 S Bascom Ave Ste 200
Campbell, CA 95008-7300
Phone: (408) 256-5292
Show map & directions

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
Mailing address365 Louise Ct, Milpitas, CA 95035-6026

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

Other providers in Campbell