Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristine Luong

Individual provider Behavior Technician · NPI 1134777287

Kristine Luong is a Physician Assistant in Elk Grove, California. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2366 Maritime Dr
Elk Grove, CA 95758-3639
Phone: (916) 347-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2366 Maritime Dr, Elk Grove, CA 95758-3639 — (916) 347-4041

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA68104 (CA)
Behavior Technician Taxonomy 106S00000X (CA)

Record details

NPI number1134777287
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2019
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Elk Grove