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Jonathan Ly

NPI 1487007811ActiveIndividual· Dentist, General Practice· Simi Valley, CA

Dentist, General Practice in Simi Valley, California, licensed in CA, with an NPI issued in July 2016. Part D covered 40 prescriptions written in 2024, 95% of them generic. Ultradent Products Inc reported $16.36 in payments in 2025, mostly food and beverage.

Overview

NPI1487007811
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 21, 2016
Last updated in NPPESJul 21, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X100404CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)40 · 46 30-day fills
Patients30
Total drug cost$629.75
Generic share95% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$16.36 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Ultradent Products Inc$16.361

What the 2025 payments were for

  • Food and Beverage$16.36 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Simi Valley

All 69 general dentists in Simi Valley · All general dentists in California