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JACKIE LUU
NPI 1689103749
Physician Assistant in La Jolla, CA

Active since June 12, 2017PECOS Enrolled
9300 CAMPUS POINT DR, LA JOLLA, CA 92037(800) 926-8273 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2021, Jun 12, 2017 (2 updates tracked since 2017).

About Jackie Luu NPPES

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

JACKIE LUU (NPI 1689103749) is an individual physician assistant in La Jolla, California, licensed in California (54994) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689103749
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACKIE LUU
Location Address9300 CAMPUS POINT DRLa Jolla, CA 92037-1300
Mailing AddressFile 57326Los Angeles, CA 90074-0001
Phone(800) 926-8273
Sole ProprietorNo
Enumeration DateJune 12, 2017
Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1689103749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 54994
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9300 CAMPUS POINT DR, La Jolla, CA 92037
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1225 E 2nd AveEscondido, CA 92025-4212 · Phone (760) 291-6700
Location 24002 Vista WayOceanside, CA 92056-4506 · Phone (760) 724-8411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Luu 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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.

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.

NICOLE PIMENTEL PALOMINO MS, RD
Dietitian, Registered
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (800) 926-8273
ABHISHEK GADRE MD
Internal Medicine
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (858) 657-7118
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Pharmacy
9300 CAMPUS POINT DR, RM LL-463
LA JOLLA, CA 92037
San Diego County (858) 657-5891
MIRA MARIA JOHN MD
Internal Medicine (Critical Care Medicine)
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (800) 926-8273
ALEXANDRA MASSEY PA-C
Physician Assistant
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (858) 657-7000
TAMMARAH SKLARZ
Internal Medicine (Hematology)
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (800) 926-8273
TIMOTHY YUSHIN KIM
Neurological Surgery
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (530) 574-5731
SABRINA BIERMAN MS, RD, CNSC
Dietitian, Registered (Nutrition, Pediatric)
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (858) 249-6142

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 Jackie Luu's NPI number?

The NPI number for Jackie Luu is 1689103749. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Jackie Luu located?

Jackie Luu practices at 9300 Campus Point Dr, La Jolla, CA 92037. The listed phone number is (800) 926-8273.

What is Jackie Luu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jackie Luu enrolled in Medicare?

Yes. Jackie Luu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Luu was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.