1. Home
  2. Directory
  3. California
  4. Woodland Hills
  5. Psychologist
  6. NPI Profile

JORGE BALLESTEROS PH.D.
NPI 1194574699
Psychologist - Clinical in Woodland Hills, CA

Active since May 16, 2024PECOS Enrolled
21781 VENTURA BLVD, WOODLAND HILLS, CA 91364(818) 270-8354 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 12, 2024, May 16, 2024 (2 updates tracked since 2024).

About Jorge Ballesteros Ph.d. NPPES

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

JORGE BALLESTEROS PH.D. (NPI 1194574699) is an individual clinical provider in Woodland Hills, California, licensed in California (34652) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194574699
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJORGE BALLESTEROSCredential: PH.D.
Location Address21781 VENTURA BLVDWoodland Hills, CA 91364-1835
Mailing Address21781 Ventura BlvdWoodland Hills, CA 91364-1835 · (818) 270-8354
Phone(818) 270-8354
Sole ProprietorYes
Enumeration DateMay 16, 2024
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1194574699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 34652
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
21781 VENTURA BLVD, Woodland Hills, CA 91364
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge Ballesteros Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jorge Ballesteros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
286 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 91364 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
$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 4

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

PRECISION ALLIED HEALTHCARE, INC.
Nurse Practitioner
21781 VENTURA BLVD, SUITE 308
WOODLAND HILLS, CA 91364
Los Angeles County (818) 788-4513
LRA MEDICAL
Durable Medical Equipment & Medical Supplies
21781 VENTURA BLVD, # 416
WOODLAND HILLS, CA 91364
Los Angeles County (818) 760-9622
IMPULSE MEDICAL DIAGNOSTICS INC
Specialist/Technologist, Other (Electroneurodiagnostic)
21781 VENTURA BLVD, SUITE 113
WOODLAND HILLS, CA 91364
Los Angeles County (818) 609-0200
MARWA KILANI, M.D.
Internal Medicine (Hospice and Palliative Medicine)
21781 VENTURA BLVD, #510
WOODLAND HILLS, CA 91364
Los Angeles County (310) 429-7246

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 Jorge Ballesteros's NPI number?

The NPI number for Jorge Ballesteros is 1194574699. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Jorge Ballesteros located?

Jorge Ballesteros practices at 21781 Ventura Blvd, Woodland Hills, CA 91364. The listed phone number is (818) 270-8354.

What is Jorge Ballesteros's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jorge Ballesteros enrolled in Medicare?

Yes. Jorge Ballesteros is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jorge Ballesteros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Ballesteros reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Jorge Ballesteros'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 Jorge Ballesteros was last updated on November 12, 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.