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MRS. TINA LOUISE LUKE
NPI 1063676211
Social Worker in San Pedro, CA

Active since July 17, 2008PECOS Enrolled
704 W 8TH ST, SAN PEDRO, CA 90731(310) 832-7545 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Tina Louise Luke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TINA LOUISE LUKE (NPI 1063676211) is an individual social worker in San Pedro, California and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063676211
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. TINA LOUISE LUKE
Location Address704 W 8TH STSan Pedro, CA 90731-3017
Mailing Address7815 E Ring StLong Beach, CA 90808-3153 · (562) 760-9315
Phone(310) 832-7545
Sole ProprietorYes
Enumeration DateJuly 17, 2008
✔ NPI 1063676211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
704 W 8TH ST, San Pedro, CA 90731
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tina Louise Luke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tina Luke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
327 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA STEPHANIE PEREZ
Social Worker (Clinical)
704 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 832-7545
MRS. SHU CHEN HSIAO LCSW, PPSC
Social Worker (Clinical)
704 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 832-7545
ISABEL HONG
Counselor
704 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 832-7545
MISS ERICA CACHU
Counselor
704 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 832-7545
BRIANNA AIKO MATSUURA
Counselor
704 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 938-6573
MISS SHARON ANDREA HALEY B.A.
Counselor (Mental Health)
704 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 832-7545
ZANOBIA ROOWALA
Counselor (Mental Health)
704 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 832-7545
THE SAN PEDRO CLINIC
Point of Service
704 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 832-7545

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 Tina Luke's NPI number?

The NPI number for Tina Luke is 1063676211. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Where is Tina Luke located?

Tina Luke practices at 704 W 8th St, San Pedro, CA 90731. The listed phone number is (310) 832-7545.

What is Tina Luke's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tina Luke enrolled in Medicare?

Yes. Tina Luke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tina Luke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Luke reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The 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 Tina Luke'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 Tina Luke was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.