Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB BENJAMIN ROSEWATER
NPI 1225787815
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since March 21, 2022PECOS Enrolled
1019 GAYLEY AVE FL 2, LOS ANGELES, CA 90024(424) 273-8900 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacob Benjamin Rosewater NPPES

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

JACOB BENJAMIN ROSEWATER (NPI 1225787815) is an individual psychiatry provider in Los Angeles, California, licensed in California (A208227) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225787815
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJACOB BENJAMIN ROSEWATER
Location Address1019 GAYLEY AVE FL 2Los Angeles, CA 90024-3437
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 21, 2022
Last NPPES UpdateSeptember 28, 2026
NPPES CertifiedSeptember 28, 2026
✔ NPI 1225787815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A208227
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.
1019 GAYLEY AVE FL 2, Los Angeles, CA 90024

Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 355-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Benjamin Rosewater is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911463344
PECOS Enrollment IDI20260727002622
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 90024 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 20

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

Marriage & Family Therapist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Marriage & Family Therapist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Marriage & Family Therapist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Nurse Practitioner (Psychiatric/Mental Health)
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Psychologist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Psychologist (Clinical)
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Marriage & Family Therapist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Marriage & Family Therapist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024

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 Jacob Rosewater's NPI number?

The NPI number for Jacob Rosewater is 1225787815. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Jacob Rosewater located?

Jacob Rosewater practices at 1019 Gayley Ave Fl 2, Los Angeles, CA 90024. The listed phone number is (424) 273-8900.

What is Jacob Rosewater's specialty?

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

Is Jacob Rosewater enrolled in Medicare?

Yes. Jacob Rosewater is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Rosewater was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.