Individual provider Active NPI

Rukan Nissa Huq, MD

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1033799168
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A203434 Issued in CA
Practice address
111 W Ocean Blvd Ste 400
Long Beach, CA 90802-4633
Phone
(562) 786-6557
Fax
(562) 786-6583
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A203434 CA Primary

Addresses

Primary practice location

111 W Ocean Blvd Ste 400
Long Beach, CA 90802-4633

Mailing address

111 W Ocean Blvd Ste 400
Long Beach, CA 90802-4633
Phone (562) 786-6557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015000273 CA Practitioner - Psychiatry 1557764339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas a & M University System, HSC, College of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 W Ocean Blvd
Suite 400
Long Beach, CA 90802-4633

3100 Oak Rd
Suite 270
Walnut Creek, CA 94597-7737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A203434CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Aug 15, 2025 Accepting new patients

Locations

6167 Bristol Pkwy
Ste 260
Culver City, CA 90230
Phone (424) 331-5604

17875 Von Karman Ave
Ste 150
Irvine, CA 92614
Phone (424) 532-5927

111 W Ocean Blvd
Ste 400
Long Beach, CA 90802
Phone (562) 786-6557

9095 Rio San Diego Dr
Ste 250
San Diego, CA 92108
Phone (619) 272-0400

4040 Civic Center Dr
Ste 200
San Rafael, CA 94903
Phone (415) 795-8050

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1033799168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W OCEAN BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024633",
            "telephone_number": "562-786-6557",
            "fax_number": "562-786-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W OCEAN BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024633",
            "telephone_number": "562-786-6557",
            "fax_number": "562-786-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUQ",
        "first_name": "RUKAN",
        "middle_name": "NISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A203434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.