DOLLY DIEM LUONG NP
NPI 1992082903
Nurse Practitioner - Acute Care in Stockton, CA

Q: What is Dolly Luong's NPI number?

The NPI number for Dolly Luong is 1992082903. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Q: What is Dolly Luong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Dolly Luong was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 04, 2011PECOS EnrolledAccepts Medicare Assignment

2545 W HAMMER LN, STOCKTON, CA 95209(209) 951-9884(209) 951-7873 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dolly Diem Luong Np NPPES

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

DOLLY DIEM LUONG NP (NPI 1992082903) is an individual acute care provider in Stockton, California, licensed in California (20943) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1992082903

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameDOLLY DIEM LUONGCredential: NP

Location Address2545 W HAMMER LNStockton, CA 95209-2839

Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769

Phone(209) 951-9884

Fax(209) 951-7873

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 4, 2011

Last NPPES UpdateNovember 11, 2025

NPPES CertifiedNovember 11, 2025

✔ NPI 1992082903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 20943

2545 W HAMMER LN, Stockton, CA 95209

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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 and accepts Medicare assignment

Dolly Diem Luong Np 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 ID8729398763

PECOS Enrollment IDI20221029000230

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 95209 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.

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