JEAN DIESTO NP
NPI 1770009045
Nurse Practitioner - Family in Los Angeles, CA

Active since August 18, 2017PECOS EnrolledAccepts Medicare Assignment
1711 W TEMPLE ST STE 3600, LOS ANGELES, CA 90026(213) 989-0700 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2023, Aug 18, 2017 (2 updates tracked since 2017).

About Jean Diesto Np NPPES

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

JEAN DIESTO NP (NPI 1770009045) is an individual family provider in Los Angeles, California, licensed in California (NP95006875) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770009045
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEAN DIESTOCredential: NP
Location Address1711 W TEMPLE ST STE 3600Los Angeles, CA 90026-7338
Mailing Address1711 W Temple St Ste 3600Los Angeles, CA 90026-7338 · (626) 354-4743
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 18, 2017
Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1770009045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95006875
1711 W TEMPLE ST STE 3600, Los Angeles, CA 90026

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

Jean Diesto Np 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 ID7517377419
PECOS Enrollment IDI20231031000203
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 Reassignments

2

Medicare enrollment records show Jean Diesto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1711 W TEMPLE ST, SUITE # 3695
Los Angeles, CA 90026
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2252 BEVERLY BLVD STE 103
Los Angeles, CA 90057
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group

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 90026 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 2

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

Physician Assistant
1711 W TEMPLE ST STE 3600
LOS ANGELES, CA 90026
Physician Assistant
1711 W TEMPLE ST STE 3600
LOS ANGELES, CA 90026

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 Jean Diesto's NPI number?

The NPI number for Jean Diesto is 1770009045. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Jean Diesto located?

Jean Diesto practices at 1711 W Temple St Ste 3600, Los Angeles, CA 90026. The listed phone number is (213) 989-0700.

What is Jean Diesto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jean Diesto enrolled in Medicare?

Yes. Jean Diesto 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 organizations bill Medicare for Jean Diesto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Diesto reassigns Medicare benefits to 2 organizations: Clinica Medica Dr Juan Escobar Inc (Los Angeles, CA) and Beverly Community Clinic (Los Angeles, CA). Each 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 Jean Diesto'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 Jean Diesto was last updated on November 16, 2023. 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.