Tiffany Grace Luong, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61987 Issued in CA

Practice address

1202 E Green St
Pasadena, CA 91106-3112

Phone

(626) 576-1800

Fax

(626) 576-1808

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1811681687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 E CHARLINDA ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913004",
            "telephone_number": "626-675-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E GREEN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063112",
            "telephone_number": "626-576-1800",
            "fax_number": "626-576-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N 5th Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910063711",
            "country_code": "US",
            "telephone_number": "626-576-1800",
            "fax_number": "626-576-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONG",
        "first_name": "TIFFANY",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Lunsford
• Fay Gu Luo, RN
• Frank Feng Luo, MD
• Patrick Hong Lok Luo, DPT
• Kathy Luong
• Vangie Luong, PA-C
• Linzee Rae Luper
• Briana Nora Luque
• Lennys Luque
• Adriana Luquin, MASTER'S DEGREE

• Physician Assistant in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.