JASPER ESTABILLO PHD
NPI 1366943060
Psychologist - Clinical in Los Angeles, CA

Q: What is Jasper Estabillo's NPI number?

The NPI number for Jasper Estabillo is 1366943060. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Q: What is Jasper Estabillo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jasper Estabillo was last updated on July 23, 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.

Active since February 27, 2018PECOS Enrolled

760 WESTWOOD PLZ # 48-240, LOS ANGELES, CA 90024(310) 825-9989(310) 206-4446 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2024, Nov 2, 2021, Oct 1, 2021 and 1 more (4 updates tracked since 2018).

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About Jasper Estabillo Phd NPPES

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

JASPER ESTABILLO PHD (NPI 1366943060) is an individual clinical provider in Los Angeles, California, licensed in California (PSY32883) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366943060

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJASPER ESTABILLOCredential: PHD

Location Address760 WESTWOOD PLZ # 48-240Los Angeles, CA 90024-5055

Mailing Address5767 W Century Blvd Suite 400Los Angeles, CA 90095-5631 · (310) 301-8707 · Fax (310) 301-8751

Phone(310) 825-9989

Fax(310) 206-4446

Sole ProprietorNo

Enumeration DateFebruary 27, 2018

Last NPPES UpdateJuly 23, 20244 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1366943060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY32883

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.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 32883 (CA)

760 WESTWOOD PLZ # 48-240, Los Angeles, CA 90024

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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 (PECOS)

Jasper Estabillo Phd 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 Jasper Estabillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uc Regents

0.4 mi

Adult Development & Aging

300 MEDICAL PLAZA
Los Angeles, CA 90095

Reassigned Medicare billing, California enrollment
221 clinicians in this Medicare group

NPI 1750368999 (310) 825-9989

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 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

$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 3

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

SHIWEI ZHOU

Psychiatry & Neurology (Child & Adolescent Psychiatry)

760 WESTWOOD PLZ # 48-240
LOS ANGELES, CA 90024

Los Angeles County (310) 825-9989

DR. LUCAS ZULLO PHD

Psychologist (Clinical)

760 WESTWOOD PLZ # 48-240
LOS ANGELES, CA 90024

Los Angeles County (310) 825-9989

DR. JANINE SHELBY PH.D.

Psychologist (Clinical)

760 WESTWOOD PLZ # 48-240
LOS ANGELES, CA 90024

Los Angeles County (310) 222-3121

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 Jasper Estabillo's NPI number?

The NPI number for Jasper Estabillo is 1366943060. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Jasper Estabillo located?

Jasper Estabillo practices at 760 Westwood Plz # 48-240, Los Angeles, CA 90024. The listed phone number is (310) 825-9989.

What is Jasper Estabillo's specialty?

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

Is Jasper Estabillo enrolled in Medicare?

Yes. Jasper Estabillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jasper Estabillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasper Estabillo reassigns Medicare benefits to Uc Regents (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 Jasper Estabillo'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 Jasper Estabillo was last updated on July 23, 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.