Skip to content

Jackie Luu

NPI 1689103749ActiveIndividual· Physician Assistant· La Jolla, CA

Physician Assistant in La Jolla, California, licensed in CA, with an NPI issued in June 2017. Part D covered 355 prescriptions written in 2024, 92% of them generic.

Overview

NPI1689103749
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 12, 2017
Last updated in NPPESOct 17, 2024
Certified by providerOct 17, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X54994CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CA)

Part D prescriptions in 2024

Prescriptions (claims)355 · 367 30-day fills
Patients236
Total drug cost$3,133
Generic share92% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in La Jolla

All 149 physician assistants in La Jolla · All physician assistants in California