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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: August 02, 2026.

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.

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
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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)
1805 N CALIFORNIA ST STE 201
STOCKTON, CA 95204
San Joaquin County (209) 645-3771
DR. NAVNEET KAUR M.B.B.S
Internal Medicine (Rheumatology)
1805 N CALIFORNIA ST STE 201
STOCKTON, CA 95204
San Joaquin County (209) 645-4005
PAUL H. LEE MD
Urology
1805 N CALIFORNIA ST STE 201
STOCKTON, CA 95204
San Joaquin County (209) 645-4005
ZEBA FATIMA VANEK MD
Psychiatry & Neurology (Neurology)
1805 N CALIFORNIA ST STE 201
STOCKTON, CA 95204
San Joaquin County (209) 645-4005
DR. ALEXANDER WAFIC BARADEI MD
Psychiatry & Neurology (Psychiatry)
1805 N CALIFORNIA ST STE 201
STOCKTON, CA 95204
San Joaquin County (209) 645-4005
DR. STEPHANIE DONG M.D.
Psychiatry & Neurology (Psychiatry)
1805 N CALIFORNIA ST STE 201
STOCKTON, CA 95204
San Joaquin County (209) 645-4005
DR. ELLA BATH-SHEVA SEVERSON
Psychiatry & Neurology (Psychiatry)
1805 N CALIFORNIA ST STE 201
STOCKTON, CA 95204
San Joaquin County (209) 645-4005
TOURO UNIVERSITY MEDICAL GROUP
Clinic/Center (Multi-Specialty)
1805 N CALIFORNIA ST STE 201
STOCKTON, CA 95204
San Joaquin County (209) 645-4005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Kim-long Hua-rupp located?

Kim-long Hua-rupp practices at 1805 N California St Ste 201, Stockton, CA 95204. The listed phone number is (209) 645-4005.

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.

Is Kim-long Hua-rupp enrolled in Medicare?

Yes. Kim-long Hua-rupp is registered in the Medicare PECOS enrollment system.

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 14 days 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.