Jobert Ballesteros Poblete, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A161588 Issued in CA

Practice address

5757 Wilshire Blvd Ste 448
Los Angeles, CA 90036-3658

Phone

(424) 277-2899

Fax

(424) 277-2899

NPI assigned

Mar 31, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of California, San Francisco School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Regeneration PsychiatryGroup PAC ID 3072911122, 13 clinicians

UC RegentsGroup PAC ID 0749180453, 148 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24050/brand/1/csg/1/fhir/r4
• Direct secure messaging: jobert.poblete.1@24050.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regeneration Psychiatry

  • Psychiatry Physician
  • Redondo Beach, CA
  • NPI 1285200584
  Medicare reassignment Care Compare group NPD Authorized official
• UC Regents

  • Adult Development & Aging Psychologist
  • Los Angeles, CA
  • NPI 1750368999

  Psychiatry

  Medicare reassignment Care Compare group NPD
• San Fernando Valley Community Mental Health Center

  • Psychiatry Physician
  • Van Nuys, CA
  • NPI 1164427316
  Medicare reassignment NPD
• Rebecca Salamo MD Inc

  • Psychiatry Physician
  • Redondo Beach, CA
  • NPI 1467283614
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1063944759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 448",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363658",
            "telephone_number": "424-277-2899",
            "fax_number": "424-277-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 448",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363658",
            "telephone_number": "424-277-2899",
            "fax_number": "424-277-2899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2512 Artesia Blvd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902783282",
            "country_code": "US",
            "telephone_number": "424-277-2899",
            "fax_number": "424-277-2899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POBLETE",
        "first_name": "JOBERT",
        "middle_name": "BALLESTEROS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A161588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMNP Medical Services Inc
• Alon Pnini, M.D.
• Christina Yi Yue Poa-Li, MD
• Leonardo Francisco Poareo
• Lizbeth Poblano
• Roy Armand Poblete, MD
• Jaclyn J Pociask, OT
• Mark Andrew Pocinich, ATC
• Birute Pociunas
• Katherine Pocock, PA-C

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.