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

ROBERTO JIMENEZ NURSE PRACTITIONER
NPI 1497155360
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since August 28, 2014PECOS Enrolled
1625 SCHRADER BLVD, LOS ANGELES, CA 90028(323) 993-7500(323) 308-4456 Get Directions Write a Review

NPPES record last updated: September 20, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 20, 2026, Mar 24, 2025, May 9, 2019 (3 updates tracked since 2019).

About Roberto Jimenez Nurse Practitioner NPPES

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

ROBERTO JIMENEZ NURSE PRACTITIONER (NPI 1497155360) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95011085) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Long Beach, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1497155360
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameROBERTO JIMENEZCredential: NURSE PRACTITIONER
Location Address1625 SCHRADER BLVDLos Angeles, CA 90028-6213
Mailing Address1625 Schrader BlvdLos Angeles, CA 90028-6213
Fax(323) 308-4456
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2014
Last NPPES UpdateSeptember 20, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2026
✔ NPI 1497155360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95011085
Also ListedRegistered NurseTaxonomy 163W00000X · License 831722 (CA)
1625 SCHRADER BLVD, Los Angeles, CA 90028

Secondary Practice Location 1

Location 13605 Long Beach Blvd Ste 321Long Beach, CA 90807-4025 · Phone (323) 366-4994 · Fax (323) 372-2669

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

Roberto Jimenez Nurse Practitioner 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 ID6406285667
PECOS Enrollment IDI20200409001116
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 90028 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Student in an Organized Health Care Education/Training Program
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Marriage & Family Therapist
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028

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 Roberto Jimenez's NPI number?

The NPI number for Roberto Jimenez is 1497155360. It was assigned to this individual provider in the NPPES registry on August 28, 2014.

Where is Roberto Jimenez located?

Roberto Jimenez practices at 1625 Schrader Blvd, Los Angeles, CA 90028. The listed phone number is (323) 993-7500.

What is Roberto Jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Roberto Jimenez enrolled in Medicare?

Yes. Roberto Jimenez 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 Roberto Jimenez was last updated on September 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.