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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2025, May 9, 2019 (2 updates tracked since 2019).

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About Robert Jimenez Nurse Practitioner NPPES

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

ROBERT 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.

NPPES Registry Identity

NPI1497155360

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameROBERT JIMENEZCredential: NURSE PRACTITIONER

Location Address1625 SCHRADER BLVDLos Angeles, CA 90028-6213

Mailing Address1625 Schrader BlvdLos Angeles, CA 90028-6213

Phone(323) 993-7500

Fax(323) 308-4456

Sole ProprietorNo

Enumeration DateAugust 28, 2014

Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ 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

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Jimenez Nurse Practitioner 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.

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.