KIM-LONG HUA-RUPP
NPI 1104566736
Psychiatry & Neurology - Psychiatry in Stockton, CA

Q: What is Kim-long Hua-rupp's NPI number?

The NPI number for Kim-long Hua-rupp is 1104566736. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Kim-long Hua-rupp's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kim-long Hua-rupp was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2022PECOS Enrolled

1805 N CALIFORNIA ST STE 201, STOCKTON, CA 95204(209) 645-4005(209) 645-6344 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kim-long Hua-rupp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM-LONG HUA-RUPP (NPI 1104566736) is an individual psychiatry provider in Stockton, California, licensed in California (A197285) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104566736

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameKIM-LONG HUA-RUPP

Location Address1805 N CALIFORNIA ST STE 201Stockton, CA 95204-6032

Mailing Address1805 N California St Ste 201Stockton, CA 95204-6032 · (209) 645-4005 · Fax (209) 645-6344

Phone(209) 645-4005

Fax(209) 645-6344

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 31, 2022

Last NPPES UpdateJuly 27, 2026

NPPES CertifiedJuly 27, 2026

✔ NPI 1104566736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A197285

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1805 N CALIFORNIA ST STE 201, Stockton, CA 95204

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim-long Hua-rupp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880159458

PECOS Enrollment IDI20260723004278

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kim-long Hua-rupp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Touro University Medical Group

Same address

Multi-Specialty

1805 N CALIFORNIA ST STE 201
Stockton, CA 95204

Reassigned Medicare billing, California enrollment
30 clinicians in this Medicare group

NPI 1215573613 (209) 645-4005

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABHINANDAN ANAND RAMAN MD

Internal Medicine (Infectious Disease)