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JUSTINE ANN MIRANDA BALTRUS M.A.
NPI 1285040709
Marriage & Family Therapist in San Diego, CA

Active since July 03, 2014PECOS Enrolled
1666 PRECISION PARK LN, SAN DIEGO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2025, Jul 21, 2022, May 16, 2017 and 1 more (4 updates tracked since 2015).

About Justine Ann Miranda Baltrus M.a. NPPES

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

JUSTINE ANN MIRANDA BALTRUS M.A. (NPI 1285040709) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1285040709
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJUSTINE ANN MIRANDA BALTRUSCredential: M.A.
Location Address1666 PRECISION PARK LNSan Diego, CA 92173-1346
Mailing Address2141 Honey Dr Apt 99San Diego, CA 92139-2147 · (619) 906-0141
Phone(619) 662-4100
Sole ProprietorNo
Enumeration DateJuly 3, 2014
Last NPPES UpdateMay 16, 20254 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1285040709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License IMF88506 (CA)
1666 PRECISION PARK LN, San Diego, CA 92173
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Secondary Practice Location 1

Location 14125 Alpha St Ste E-GSan Diego, CA 92113-4553 · Phone (619) 266-0166

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justine Ann Miranda Baltrus M.a. 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 Justine Ann Baltrus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro, Inc.
Same address
Federally Qualified Health Center (FQHC)
1666 PRECISION PARK LN
San Diego, CA 92173
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1124782685 (619) 662-4100

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 20

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

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Clinic/Center (Adolescent and Children Mental Health)
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
San Diego County (619) 428-1330
MS. GRACIELA CASTELLANOS MA IN MFT
Counselor
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
MICHELLE STEPHANIE LOUGH
Family Medicine
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
MARGARITA CASTELLANOS PALAZUELOS
Social Worker (Clinical)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 428-5533
ARI AZANI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
RITO A LOPEZ NURSE PRACTITIONER
Nurse Practitioner (Family)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
THANOS GEORGE ROSSOPOULOS MD
Psychiatry & Neurology (Psychiatry)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100

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 Ann Baltrus's NPI number?

The NPI number for Justine Ann Baltrus is 1285040709. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Justine Ann Baltrus located?

Justine Ann Baltrus practices at 1666 Precision Park Ln, San Diego, CA 92173. The listed phone number is (619) 662-4100.

What is Justine Ann Baltrus's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Justine Ann Baltrus enrolled in Medicare?

Yes. Justine Ann Baltrus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justine Ann Baltrus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justine Ann Baltrus reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (San Diego, 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 Justine Ann Baltrus'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 Justine Ann Baltrus was last updated on May 16, 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.