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

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: October 18, 2026.

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, maintains a secondary practice location in Elk Grove, 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
Open in Google Maps ↗

Secondary Practice Location 1

Location 19394 Big Horn BlvdElk Grove, CA 95758-7977 · Phone (916) 691-8500 · Fax (916) 691-8589

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dolly Luong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatrics Long Term Care Medical Corporation
2.1 mi
Internal Medicine
1240 ROBINHOOD DRIVE, SUITE A
Stockton, CA 95207
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1952534927 (209) 475-8144
Sutter Valley Medical Foundation
33 mi
Multi-Specialty
600 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1669846986 (209) 524-1211

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 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.

DR. NKECHIYERE NICOLE EBOKA DO
Family Medicine
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 954-4040
MARTHA CATALINA ZIMMER NP
Nurse Practitioner (Acute Care)
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 941-0127
GARY M ALEGRE MD
Orthopaedic Surgery
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 948-1641
SUTTER VALLEY MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 957-7050
JERRY CASE CROOKS M.D.
Orthopaedic Surgery
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 957-7050
KEVIN KAYE MIKAELIAN M.D.
Orthopaedic Surgery
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 957-7050
ABASI BOMANI MD
Clinic/Center (Urgent Care)
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (213) 226-7443
JENNIFER THUY HO PHUNG M.D.
Obstetrics & Gynecology
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 957-7050

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 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.

Where is Dolly Luong located?

Dolly Luong practices at 2545 W Hammer Ln, Stockton, CA 95209. The listed phone number is (209) 951-9884.

What is Dolly Luong's specialty?

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

Is Dolly Luong enrolled in Medicare?

Yes. Dolly 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 Dolly Luong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dolly Luong reassigns Medicare benefits to 2 organizations: Geriatrics Long Term Care Medical Corporation (Stockton, CA) and Sutter Valley Medical Foundation (Modesto, 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 Dolly 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 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 11 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.