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

Tina Ngoc Tran Ly, MD

Individual provider Family Medicine Physician · NPI 1770965220

Tina Ngoc Tran Ly, MD is a Family Practice in Fresno, California. Qualified in 2014, 12 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Ohio and West Virginia.

Years since qualifying
12
Licensed in
CA, OH, WV
In the registry since
2015
Specialties on file
3
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

7300 N Fresno St
Fresno, CA 93720-2942
Phone: (559) 448-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 — (304) 414-4800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C186952 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35.133672 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 30002 (WV)

Record details

NPI number1770965220
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2015
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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