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JESSIE LYN BARTOLOME RORALDO
NPI 1174725162
Internal Medicine in Los Angeles, CA

Active since June 03, 2007PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, LOS ANGELES, CA 90033(323) 226-7556 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2021, Mar 6, 2020 (2 updates tracked since 2020).

About Jessie Lyn Bartolome Roraldo NPPES

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

JESSIE LYN BARTOLOME RORALDO (NPI 1174725162) is an individual internal medicine provider in Los Angeles, California, licensed in California (A102737) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2002).

NPPES Registry Identity

NPI1174725162
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJESSIE LYN BARTOLOME RORALDO
Location Address1200 N STATE STLos Angeles, CA 90033-1029
Mailing Address145 S Mariposa Ave, 201Los Angeles, CA 90004-5462
Phone(323) 226-7556
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2002
Enumeration DateJune 3, 2007
Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1174725162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A102737
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
1200 N STATE ST, Los Angeles, CA 90033
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessie Lyn Pangilinan Bartolome

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessie Lyn Bartolome Roraldo 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 ID5395806152
PECOS Enrollment IDI20081211000521
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

DR. LUCILLE CHAILLE
Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 226-2170
DR. THIENDANG VIET NGUYEN M.D.
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7748
DR. PHIL ORALLO CASTILLO M.D.
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Los Angeles County (323) 226-4597
NOA CARTER STERLING M.D.
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8847
CHRYSTAL LYNNE JONES RCP
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1000
MAY SUNDONGMEI WU RESP THERAPIST
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1824
BRETT BARRO
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (213) 705-5282
ALBERT CHEN MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7686

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 Jessie Lyn Roraldo's NPI number?

The NPI number for Jessie Lyn Roraldo is 1174725162. It was assigned to this individual provider in the NPPES registry on June 3, 2007. The provider is also known as Jessie Lyn Pangilinan Bartolome.

Where is Jessie Lyn Roraldo located?

Jessie Lyn Roraldo practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 226-7556.

What is Jessie Lyn Roraldo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jessie Lyn Roraldo enrolled in Medicare?

Yes. Jessie Lyn Roraldo 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.

When was this NPI record last updated?

The NPPES record for Jessie Lyn Roraldo was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.