1. Home
  2. Directory
  3. California
  4. Stockton
  5. Emergency Medicine
  6. NPI Profile

ETHAN BENJAMIN LUONG MD
NPI 1790362093
Emergency Medicine in Stockton, CA

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1800 N CALIFORNIA ST, STOCKTON, CA 95204(209) 547-7146 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2023, Mar 24, 2021 (2 updates tracked since 2021).

About Ethan Benjamin Luong Md NPPES

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

ETHAN BENJAMIN LUONG MD (NPI 1790362093) is an individual emergency medicine provider in Stockton, California, licensed in California (A184728) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790362093
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameETHAN BENJAMIN LUONGCredential: MD
Location Address1800 N CALIFORNIA STStockton, CA 95204-6019
Mailing Address1800 N California StStockton, CA 95204-6019 · (209) 547-7146
Phone(209) 547-7146
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1790362093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A184728
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1800 N CALIFORNIA ST, Stockton, CA 95204
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Benjamin Luong Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173987674
PECOS Enrollment IDI20230918001656
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 Reassignments

3

Medicare enrollment records show Ethan Luong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
3.3 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000
Alameda Health System
49 mi
Federally Qualified Health Center (FQHC)
15400 FOOTHILL BLVD
San Leandro, CA 94578
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
NPI 1558749440 (510) 532-1930
Team Physicians Of California Medical Group Inc
190 mi
Emergency Medicine
1401 GARCES HWY
Delano, CA 93215
  • Reassigned Medicare billing, California enrollment
  • 301 clinicians in this Medicare group
NPI 1447288345 (925) 924-1600

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
60 services58 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
56 services54 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services32 patients
Ultrasound scan of chest 76604
An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.
16 services16 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
16 services16 patients

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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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.

DEEPAK GIR MD
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7177
PRIYADEEP KANG MD
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7181
NANCY THI NGUYEN CF-SLP
Speech-Language Pathologist
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 943-2000
DR. VALERIE DEJESUS MD
Anesthesiology
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-5716
LARRY GEORGE OTTERSTETTER DO
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7181
SHUBHPREET KAUR SOHAL
Nurse Practitioner (Family)
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 466-0456
RONLI LEVI RD
Dietitian, Registered
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 467-5356
JOSEPH HOWARD HOFFMAN DO
Emergency Medicine
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 943-2000

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 Ethan Luong's NPI number?

The NPI number for Ethan Luong is 1790362093. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Ethan Luong located?

Ethan Luong practices at 1800 N California St, Stockton, CA 95204. The listed phone number is (209) 547-7146.

What is Ethan Luong's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ethan Luong enrolled in Medicare?

Yes. Ethan Luong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ethan Luong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Luong reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Stockton, CA), Alameda Health System (San Leandro, CA) and Team Physicians Of California Medical Group Inc (Delano, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Luong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Luong was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.