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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 Long Beach, CA

Active since August 28, 2014PECOS EnrolledAccepts Medicare Assignment
3605 LONG BEACH BLVD STE 321, LONG BEACH, CA 90807(323) 366-4994(323) 372-2669 Get Directions Write a Review

NPPES record last updated: September 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 27, 2026, Sep 20, 2026, Mar 24, 2025 and 1 more (4 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 Long Beach, 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 Los Angeles, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1497155360
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameROBERTO JIMENEZCredential: NURSE PRACTITIONER
Location Address3605 LONG BEACH BLVD STE 321Long Beach, CA 90807-4025
Mailing Address3605 Long Beach Blvd Ste 321Long Beach, CA 90807-4025 · (323) 366-4994 · Fax (323) 372-2669
Phone(323) 366-4994
Fax(323) 372-2669
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2014
Last NPPES UpdateSeptember 27, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 27, 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)
3605 LONG BEACH BLVD STE 321, Long Beach, CA 90807
Open in Google Maps ↗

Secondary Practice Location 1

Location 11625 Schrader BlvdLos Angeles, CA 90028-6213 · Phone (323) 993-7500 · Fax (323) 372-2669

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Los Angeles Lgbt Center
21 mi
Federally Qualified Health Center (FQHC)
1625 SCHRADER BLVD
Los Angeles, CA 90028
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group
NPI 1548298532 (323) 993-7500

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 90807 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 3

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

CUSTOM LIFE SOLUTIONS INC.
Clinic/Center (Adolescent and Children Mental Health)
3605 LONG BEACH BLVD STE 321
LONG BEACH, CA 90807
Los Angeles County (562) 454-1028
HEALING AND FEELING THERAPY SERVICES INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3605 LONG BEACH BLVD STE 321
LONG BEACH, CA 90807
Los Angeles County (323) 273-4781
INNER LUZ PSYCHIATRY NURSING INC
Nurse Practitioner (Psychiatric/Mental Health)
3605 LONG BEACH BLVD STE 321
LONG BEACH, CA 90807
Los Angeles County (323) 366-4994

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 3605 Long Beach Blvd Ste 321, Long Beach, CA 90807. The listed phone number is (323) 366-4994.

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.

Which organization bills Medicare for Roberto Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Jimenez reassigns Medicare benefits to Los Angeles Lgbt Center (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 Roberto Jimenez'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 Roberto Jimenez was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.