JOBERT BALLESTEROS POBLETE (MD) – Psychiatry Physician, NPI 1063944759
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,134 PSYCHIATRY in CA
Provider Addresses for JOBERT BALLESTEROS POBLETE (MD)
5757 WILSHIRE BLVD STE 448
LOS ANGELES, CA 900363658
Phone: (424) 277-2899
Fax: (424) 277-2899
Type: Mailing
760 WESTWOOD PLZ STE C8-193
LOS ANGELES, CA 900245055
Phone: (310) 825-4405
Fax: (605) 309-7704
Type: Mailing
760 WESTWOOD PLZ STE 37-384
LOS ANGELES, CA 900245055
Phone: (310) 825-1289
Type: Location
2512 Artesia Blvd Ste 320
Redondo Beach, CA 902783282
Phone: (424) 277-2899
Fax: (424) 277-2899
Type: Location
2512 ARTESIA BLVD STE 310
REDONDO BEACH, CA 902783274
Phone: (424) 277-2899
Fax: (424) 277-2899
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191121001917 | I | Psychiatry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 423 | 58 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 419 | 59 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 20 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 90036)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | MA | |
| P S Y C H I A T R Y | NY | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | NY | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA |
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