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JUSTINE KU
NPI 1205579703
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment
200 DICKINSON ST., MC# 8218, SAN DIEGO, CA 92130(619) 471-0209 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2025, Apr 14, 2022 (2 updates tracked since 2022).

About Justine Ku NPPES

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

JUSTINE KU (NPI 1205579703) is an individual psychiatry provider in San Diego, California, licensed in California (A190175) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205579703
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameJUSTINE KU
Location Address200 DICKINSON ST., MC# 8218San Diego, CA 92130
Mailing Address200 W Arbor DrSan Diego, CA 92103-9000 · (619) 471-0209 · Fax (619) 426-7849
Phone(619) 471-0209
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 14, 2022
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1205579703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A190175
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
200 DICKINSON ST., San Diego, CA 92130
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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

Justine Ku 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 ID5294279451
PECOS Enrollment IDI20240819000982
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 92130 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Justine Ku's NPI number?

The NPI number for Justine Ku is 1205579703. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Justine Ku located?

Justine Ku practices at 200 Dickinson St. Mc# 8218, San Diego, CA 92130. The listed phone number is (619) 471-0209.

What is Justine Ku's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Justine Ku enrolled in Medicare?

Yes. Justine Ku 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.

When was this NPI record last updated?

The NPPES record for Justine Ku was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.