TIFFANY JU - NPI 1033786645 - Psychologist in Santa Monica, CA

Q: What is Tiffany Ju's NPI number?

The NPI number for Tiffany Ju is 1033786645. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Q: What is Tiffany Ju's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Ju was last updated on May 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tiffany Ju NPPES

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

TIFFANY JU (NPI 1033786645) is an individual clinical provider in Santa Monica, California, licensed in California (35427) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033786645

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTIFFANY JU

Location Address1223 16TH ST STE 3100Santa Monica, CA 90404-1275

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90095-5631 · (310) 301-8707

Phone(310) 582-6240

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 10, 2021

Last NPPES UpdateMay 1, 20252 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1033786645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 35427

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 35427 (CA)

1223 16TH ST STE 3100, Santa Monica, CA 90404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Ju is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092238147

PECOS Enrollment IDI20250328002436

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

DR. CARL NORDSTROM M.D.

Internal Medicine (Gastroenterology)