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

Active since June 10, 2021PECOS EnrolledAccepts Medicare Assignment
1223 16TH ST STE 3100, SANTA MONICA, CA 90404(310) 582-6240 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2021, Jun 10, 2021 (2 updates tracked since 2021).

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

The Regents Of The University Of California
3.9 mi
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
NPI 1235107566 (310) 794-1276

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

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 13

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

AUDREY JOAN REALEZA CANO FNP-BC
Nurse Practitioner (Primary Care)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Los Angeles County (424) 259-8791
DR. MATTHEW RAYMOND QUAN MD
Internal Medicine (Geriatric Medicine)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4371
ALLISON ANNE RUMMELL
Physician Assistant
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Los Angeles County (424) 259-8791
KATHERINE MARGARET MINTZ
Dietitian, Registered
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Los Angeles County (310) 582-6240
MERCEDES AVILA FNP-BC
Nurse Practitioner
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Los Angeles County (310) 582-6240
BENJAMIN NULSEN
Internal Medicine (Gastroenterology)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Los Angeles County (310) 582-6240
DR. CARL NORDSTROM M.D.
Internal Medicine (Gastroenterology)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Los Angeles County (310) 582-6240
AMY M KUSSKE MD
Surgery
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Los Angeles County (424) 259-8791

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 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.

Where is Tiffany Ju located?

Tiffany Ju practices at 1223 16th St Ste 3100, Santa Monica, CA 90404. The listed phone number is (310) 582-6240.

What is Tiffany Ju's specialty?

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

Is Tiffany Ju enrolled in Medicare?

Yes. Tiffany Ju is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tiffany Ju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Ju reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, 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 Tiffany Ju'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 Tiffany Ju was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.