JOBERT BALLESTEROS POBLETE MD
NPI 1063944759
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
5757 WILSHIRE BLVD STE 448, LOS ANGELES, CA 90036(424) 277-2899(424) 277-2899 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2024, Oct 7, 2021, Jul 11, 2021 and 3 more (6 updates tracked since 2017).

About Jobert Ballesteros Poblete Md NPPES

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

JOBERT BALLESTEROS POBLETE MD (NPI 1063944759) is an individual psychiatry provider in Los Angeles, California, licensed in California (A161588) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Redondo Beach, and is a graduate of University Of California, San Francisco School Of Medicine (2017).

NPPES Registry Identity

NPI1063944759
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOBERT BALLESTEROS POBLETECredential: MD
Location Address5757 WILSHIRE BLVD STE 448Los Angeles, CA 90036-3658
Mailing Address5757 Wilshire Blvd Ste 448Los Angeles, CA 90036-3658 · (424) 277-2899 · Fax (424) 277-2899
Fax(424) 277-2899
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateNovember 20, 20246 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1063944759 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 · A161588
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.
5757 WILSHIRE BLVD STE 448, Los Angeles, CA 90036

Secondary Practice Location 1

Location 12512 Artesia Blvd Ste 320Redondo Beach, CA 90278-3282 · Phone (424) 277-2899 · Fax (424) 277-2899

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jobert Ballesteros Poblete Md 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 ID4880925288
PECOS Enrollment IDI20191121001917
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 Reassignments

3

Medicare enrollment records show Jobert Poblete reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Development & Aging
300 MEDICAL PLAZA
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 221 clinicians in this Medicare group
Psychiatry
2512 ARTESIA BLVD STE 320
Redondo Beach, CA 90278
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
Psychiatry
16360 ROSCOE BLVD, 2ND FLOOR
Van Nuys, CA 91406
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
380 services49 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
319 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90036 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

Psychiatry & Neurology (Psychiatry)
5757 WILSHIRE BLVD STE 448
LOS ANGELES, CA 90036

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 Jobert Poblete's NPI number?

The NPI number for Jobert Poblete is 1063944759. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Jobert Poblete located?

Jobert Poblete practices at 5757 Wilshire Blvd Ste 448, Los Angeles, CA 90036. The listed phone number is (424) 277-2899.

What is Jobert Poblete's specialty?

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

Is Jobert Poblete enrolled in Medicare?

Yes. Jobert Poblete 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.

Which organizations bill Medicare for Jobert Poblete's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jobert Poblete reassigns Medicare benefits to 3 organizations: Uc Regents (Los Angeles, CA), Regeneration Psychiatry (Redondo Beach, CA) and San Fernando Valley Community Mental Health Center (Van Nuys, CA). Each 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 Jobert Poblete'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 Jobert Poblete was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.