| Dr Joel Alan Badeaux, MD | |
|
5039 Westslope Ln, La Canada Flintridge, CA 91011-2766 | |
| (323) 487-0874 | |
| (323) 928-2485 |
| Full Name | Dr Joel Alan Badeaux |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5039 Westslope Ln, La Canada Flintridge, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992953517 | NPI | - | NPPES |
| ZZZ92069Z | Other | CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| FHC70042F, FHC70044 | Other | CA | COUNTY OF SANTA CRUZ MEDI-CAL PROVIDER #S |
| ZZZ91892ZZ | Other | CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| ZZZ91891Z | Other | CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A115633 (California) | Primary |
| Entity Name | County Of Monterey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205863255 PECOS PAC ID: 2466345632 Enrollment ID: O20050502000456 |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Entity Name | Interim, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407344641 PECOS PAC ID: 0941636609 Enrollment ID: O20200129000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joel Alan Badeaux, MD 5039 Westslope Ln, La Canada Flintridge, CA 91011-2766 Ph: (323) 487-0874 | Dr Joel Alan Badeaux, MD 5039 Westslope Ln, La Canada Flintridge, CA 91011-2766 Ph: (323) 487-0874 |
Dr. Lilit Pogosian, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4760 Rosebank Dr, La Canada Flintridge, CA 91011 Phone: 310-220-5463 Fax: 626-356-2445 |