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

Michelle Ly, PA

Individual provider Physician Assistant · NPI 1760115521

Michelle Ly, PA is a Physician Assistant in LA Jolla, California. Qualified in 2023, 3 years ago. Practices with La Jolla Spine Institute Medical Group Inc, an 8-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9400 Campus Point Dr
LA Jolla, CA 92093-1350
Phone: (800) 926-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 South Fremont Avenue, Alhambra, CA 91803 — (626) 457-4240
  • 4250 1st Ave, San Diego, CA 92103-2026 — (800) 926-8273

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA63271 (CA)

Record details

NPI number1760115521
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 7, 2022
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing addressFile 57326, Los Angeles, CA 90074-0001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice La Jolla Spine Institute Medical Group Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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