ROBERT GUSTAVO JIMENEZ
NPI 1053962845
Marriage & Family Therapist in Los Angeles, CA

Q: What is Robert Jimenez's NPI number?

The NPI number for Robert Jimenez is 1053962845. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Q: What is Robert Jimenez's specialty?

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

Q: Is Robert Jimenez enrolled in Medicare?

No. Robert Jimenez has opted out of Medicare through October 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Robert Jimenez was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since September 24, 2019Opted out of Medicare · through Oct 30, 2026

1926 BEVERLY BLVD, LOS ANGELES, CA 90057(213) 353-1140 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Robert Gustavo Jimenez NPPES

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

ROBERT GUSTAVO JIMENEZ (NPI 1053962845) is an individual marriage & family therapist in Los Angeles, California and active in the NPI registry since September 2019. He has opted out of Medicare through October 30, 2026.

NPPES Registry Identity

NPI1053962845

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameROBERT GUSTAVO JIMENEZ

Location Address1926 BEVERLY BLVDLos Angeles, CA 90057-2402

Mailing Address6737 Blewett AveVan Nuys, CA 91406-6013 · (818) 919-1441

Phone(213) 353-1140

Sole ProprietorYes

Enumeration DateSeptember 24, 2019

✔ NPI 1053962845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1926 BEVERLY BLVD, Los Angeles, CA 90057

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Robert Gustavo Jimenez has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 30, 2024 through October 30, 2026.

Opt-Out Effective DateOctober 30, 2024

Opt-Out In Effect ThroughOctober 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

EDWARD CHAVEZ

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