| Andre Todd Dejean, MD | |
| 500 Old River Rd, Suite 155, Bakersfield, CA 93311-9504 | |
| (661) 664-1230 | |
| (661) 663-3008 | 
| Full Name | Andre Todd Dejean | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 500 Old River Rd, Bakersfield, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639140700 | NPI | - | NPPES | 
| 036098449 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 036098449 (Illinois) | Primary | 
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 036-098449 (Illinois) | Secondary | 
| Entity Name | Foundation For Emergency Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467468280 PECOS PAC ID: 4981504198 Enrollment ID: O20040113000338 | 
| Entity Name | Kam Alliance Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003046152 PECOS PAC ID: 7315085289 Enrollment ID: O20091113000153 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andre Todd Dejean, MD 500 Old River Rd, Suite 155, Bakersfield, CA 93311-9504 Ph: (661) 664-1230 | Andre Todd Dejean, MD 500 Old River Rd, Suite 155, Bakersfield, CA 93311-9504 Ph: (661) 664-1230 | 
| May Ling The, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3733 San Dimas St, Bakersfield, CA 93301 Phone: 800-353-5400 | |
| Dr. Andrew Scott Farr, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8307 Brimhall Rd Ste 1707, Bakersfield, CA 93312 Phone: 661-587-8990 | |
| Tien Nguyen, M.D Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4901 Centennial Plaza Way, Bakersfield, CA 93312 Phone: 661-588-1150 Fax: 661-241-4052 | |
| Adan De Jesus Romero Lopez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9001 South H St, Clinica Sierra Vista, Bakersfield, CA 93307 Phone: 661-328-4260 Fax: 661-617-2881 | |
| Raul Bugnosen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3733 San Dimas St, Bakersfield, CA 93301 Phone: 800-353-5400 | |
| Dr. Gurinder P Chatha, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8800 Ming Ave, Bakersfield, CA 93311 Phone: 661-631-3008 | |
| Dr. Steffi L D'souza, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 210 N Chester Ave, Bakersfield, CA 93308 Phone: 866-707-6664 |