MR. JAIME BOTERO LCSW
NPI 1083744155
Social Worker - Clinical in Los Angeles, CA
About Mr. Jaime Botero Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAIME BOTERO LCSW (NPI 1083744155) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW26451) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Jaime Botero Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Jaime Botero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90011
- Reassigned Medicare billing, California enrollment
- 33 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90011
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 Jaime Botero's NPI number?
The NPI number for Jaime Botero is 1083744155. It was assigned to this individual provider in the NPPES registry on March 6, 2007.
Where is Jaime Botero located?
Jaime Botero practices at 4425 S Central Ave, Los Angeles, CA 90011. The listed phone number is (323) 908-4200.
What is Jaime Botero's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jaime Botero enrolled in Medicare?
Yes. Jaime Botero 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 organization bills Medicare for Jaime Botero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaime Botero reassigns Medicare benefits to South Central Family Health Center (Los Angeles, CA). The 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 Jaime Botero'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 Jaime Botero was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Jaime Botero, LCSW · NPI 1083744155
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 6, 2007.
## Identity
- **NPI:** 1083744155 (Entity type: Individual)
- **Enumerated:** March 6, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW26451 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4425 S CENTRAL AVE, Los Angeles, CA 90011-3629
- **Phone:** (323) 908-4200 · **Fax:** (323) 985-9940
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** South Central Family Health Center (NPI 1396891909, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** June 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083744155) · Data from the CMS NPPES public registry.