| Andre Todd Dejean, MD | |
|
4900 California Ave, Bakersfield, CA 93309-7024 | |
| (661) 630-7047 | |
| Not Available |
| Full Name | Andre Todd Dejean |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4900 California Ave, 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 | |
| C144686 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | C144686 (California) | Secondary |
| 207Q00000X | Family Medicine | C144686 (California) | Primary |
| 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 | K.a.m 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 4900 California Ave Ste 400b, Bakersfield, CA 93309-7081 Ph: (661) 630-7047 | Andre Todd Dejean, MD 4900 California Ave, Bakersfield, CA 93309-7024 Ph: (661) 630-7047 |
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: May Accept Medicare Assignments Practice Location: 8307 Brimhall Rd Ste 1707, Bakersfield, CA 93312 Phone: 661-587-8990 |
Maria Gonzalez, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9900 Stockdale Hwy Ste 200, Bakersfield, CA 93311 Phone: 661-241-6700 |
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 |
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: Accepting Medicare Assignments Practice Location: 210 N Chester Ave, Bakersfield, CA 93308 Phone: 866-707-6664 |