Individual provider Active NPI

Jesse Robles, NP

  • Critical Care Medicine (Internal Medicine) Physician
  • Chula Vista, CA
National Provider Identifier
1780187229
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
95008504 Issued in CA
Practice address
345 F Street
Suite 220
Chula Vista, CA 91910
Phone
(619) 397-5400
Fax
(619) 397-5445
NPI assigned
Mar 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 95008504 CA Primary

Addresses

Primary practice location

345 F Street
Suite 220
Chula Vista, CA 91910

Mailing address

345 F Street
Suite 220
Chula Vista, CA 91910
Phone (619) 397-5400

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530002553 CA Practitioner - Nurse Practitioner 5799040416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008504CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen Velazquez MD Inc CurrentSince Feb 24, 2022 Accepting new patients
Cardiology of Southern California CurrentSince Apr 21, 2018 Accepting new patients
Valderrama MD, Inc CurrentSince Feb 24, 2022 Accepting new patients
Henry Samtoy MD Inc PastSince Apr 21, 2018 Accepting new patients

Locations

340 Fourth Ave
Ste 10
Chula Vista, CA 91910
Phone (619) 426-8222

345 F St
Ste 220
Chula Vista, CA 91910
Phone (619) 397-5400

1240 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 442-3446

1845 E 12th St
National City, CA 91950

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1780187229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 F STREET",
            "address_2": "SUITE 220",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-397-5400",
            "fax_number": "619-397-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 F STREET",
            "address_2": "SUITE 220",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-397-5400",
            "fax_number": "619-397-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "JESSE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "95008504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.