Provider Demographics
NPI:1376655696
Name:LUIG, TIINA (MD)
Entity Type:Individual
Prefix:
First Name:TIINA
Middle Name:
Last Name:LUIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 SUNRISE AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4106
Mailing Address - Country:US
Mailing Address - Phone:916-536-2500
Mailing Address - Fax:916-780-3904
Practice Address - Street 1:3160 FOLSOM BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5202
Practice Address - Country:US
Practice Address - Phone:916-733-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80545207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7906500OtherAETNA
CA98224OtherINTERPLAN
CA00A805450Medicaid
CA000810522515OtherPHCS
CA1723628OtherGREAT WEST
CA4643189OtherCIGNA
CA2135188OtherFIRST HEALTH
CA90136844OtherPACIFICARE
CAA80545OtherBLUE CROSS
CA2358902OtherUNITED HEALTHCARE
CAMCMG273300OtherWESTERN HEALTH ADVANTAGE
CA102611OtherHEALTH NET
H89142Medicare UPIN
CA00A805450Medicaid