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JEREMIAH C BUENROSTRO
NPI 1073160214
Social Worker - Clinical in Pasadena, CA

Active since August 22, 2019PECOS EnrolledAccepts Medicare Assignment
393 E WALNUT ST, PASADENA, CA 91188(877) 457-4772 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2024, Apr 15, 2021, Sep 10, 2020 and 1 more (4 updates tracked since 2019).

About Jeremiah C Buenrostro NPPES

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

JEREMIAH C BUENROSTRO (NPI 1073160214) is an individual clinical provider in Pasadena, California, licensed in California (120503) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073160214
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEREMIAH C BUENROSTRO
Location Address393 E WALNUT STPasadena, CA 91188-1486
Mailing Address18646 Oxnard StTarzana, CA 91356-1411 · (818) 996-1051
Phone(877) 457-4772
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 22, 2019
Last NPPES UpdateMay 8, 20244 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1073160214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 120503
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 96364 (CA)
393 E WALNUT ST, Pasadena, CA 91188
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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

Jeremiah C Buenrostro 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 ID2961948658
PECOS Enrollment IDI20240717005120
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

2

Medicare enrollment records show Jeremiah Buenrostro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
3.8 mi
Health Maintenance Organization
2626 COLORADO BLVD
Los Angeles, CA 90041
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1013409044 (877) 608-0044
Grow Healthcare Group PC
304 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91188 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
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
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 20

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

MRS. MICHELLE DIAZ LCSW
Social Worker (Clinical)
393 E WALNUT ST
PASADENA, CA 91188
Los Angeles County (626) 405-6432
SONIA CRISTINA MAYS CNM, WHNP
Midwife
393 E WALNUT ST
PASADENA, CA 91188
Los Angeles County (626) 405-3224
DR. STEPHEN LUNGWEN SHIH M.D.
Pediatrics
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS
PASADENA, CA 91188
Los Angeles County (800) 823-2020
MYLENE COOK LCSW
Social Worker (Clinical)
393 E WALNUT ST
PASADENA, CA 91188
Los Angeles County (800) 464-4000
ABIGAIL COLEMAN FNP-BC
Nurse Practitioner (Family)
393 E WALNUT ST
PASADENA, CA 91188
Los Angeles County (626) 405-5000
LISET SANDOVAL
Counselor (Mental Health)
393 E WALNUT ST
PASADENA, CA 91188
Los Angeles County (833) 511-0106
MRS. ALMA DOLAUDY SILVA
Social Worker (Clinical)
393 E WALNUT ST
PASADENA, CA 91188
Los Angeles County (626) 851-1011
DR. BRIAN RALPH APTER M.D.
Hospitalist
393 E WALNUT ST, 3RD FLOOR
PASADENA, CA 91188
Los Angeles County (415) 310-1938

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 Jeremiah Buenrostro's NPI number?

The NPI number for Jeremiah Buenrostro is 1073160214. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Jeremiah Buenrostro located?

Jeremiah Buenrostro practices at 393 E Walnut St, Pasadena, CA 91188. The listed phone number is (877) 457-4772.

What is Jeremiah Buenrostro's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeremiah Buenrostro enrolled in Medicare?

Yes. Jeremiah Buenrostro 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 Jeremiah Buenrostro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Buenrostro reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Los Angeles, CA) and Grow Healthcare Group PC (San Jose, 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 Jeremiah Buenrostro'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 Jeremiah Buenrostro was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.