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

Phuong CHI Ly, MD

Individual provider Family Medicine Physician · NPI 1265512982

Phuong CHI Ly, MD is a Family Practice in Mission Viejo, California. Graduated from University of Arkansas College of Medicine in 1993, 33 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in Arkansas and California.

Years since qualifying
33
Trained at
University of Arkansas College of Medicine
Licensed in
AR, CA
In the registry since
2006
Specialties on file
2
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

26800 Crown Valley Pkwy Ste 150
Mission Viejo, CA 92691-8018
Phone: (949) 276-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A53516 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence C8448 (AR)

Record details

NPI number1265512982
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mission Viejo