ANDRE TODD DEJEAN


Address: 500 Old River Rd, Suite 155, Bakersfield, CA 93311-9504
Phone: 6616641230

ANDRE TODD DEJEAN (NPI# 1639140700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639140700
Entity Type Individual
Full Name ANDRE TODD DEJEAN
Credential MD
Practice Address 500 Old River Rd
Suite 155
Bakersfield
CA 93311-9504
Practice Telephone 6616641230
Practice Fax Number 6616633008
Mailing Telephone 6616641230
Mailing Fax Number 6617165484
Enumeration Date 2006-01-27
Last Update Date 2017-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
036-098449 IL Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 036098449 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036098449 05

Office Location

Street Address 500 OLD RIVER RD
SUITE 155
City BAKERSFIELD
State CA
Zip Code 93311-9504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286392 Kamen Ivanov Nedeltchev Dentist 500 Old River Rd, Ste 225, Bakersfield, CA 93311-9508 2005-06-27
1003362435 Jeffrey Elms Orthotist 500 Old River Rd, Suite 100, Bakersfield, CA 93311-9504 2016-08-26
1962838540 Pamela Jean Whiteley Physician Assistant 500 Old River Rd, Suite 145, Bakersfield, CA 93311-9504 2013-09-16
1891061511 Melanie Ann Scarbrough Nurse Practitioner 500 Old River Rd, Suite 260, Bakersfield, CA 93311-9504 2012-03-27
1518259480 Lincy A Maliyekkal Nurse Practitioner 500 Old River Rd, Suite 155, Bakersfield, CA 93311-9504 2011-05-10
1598906521 Pediatric Heart Center, Inc. Pediatrics 500 Old River Rd, Suite 105, Bakersfield, CA 93311-9504 2009-03-22
1801040894 Marvin J. Derrick, M.d. Inc. Surgery 500 Old River Rd, Suite 250, Bakersfield, CA 93311-9504 2008-11-04
1396996435 Nedeltchev Dental Corporation Clinic/Center 500 Old River Rd, #225, Bakersfield, CA 93311 2008-10-07
1972665222 Alan Afshin Esla Dentist 500 Old River Rd, Suite# 275, Bakersfield, CA 93311-9504 2006-12-14
1316023385 Kevin Gregrory Nelson Nurse Practitioner 500 Old River Rd, Suite # 104, Bakersfield, CA 93311-9504 2006-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104469030 Bk New Age. Inc. Internal Medicine 11703 Privet Pl, Bakersfield, CA 93311 2019-10-23
1245713197 Brandon Mccullough Dentist 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 2018-09-06
1871001602 Centric Health Internal Medicine 4531 Buena Vista Rd, Bakersfield, CA 93311 2018-01-15
1518484971 Alexandria Noelle Wilson Specialist/Technologist 9800 Green Oak Pl, Bakersfield, CA 93311 2017-08-26
1477093169 Vishnu Patel Pharmacist 11500 Wakehurst Ct, Bakersfield, CA 93311 2017-03-01
1487102364 Christina Lewis Nurse Practitioner 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 2016-09-20
1629424866 New Horizon Surgical Center, LLC Clinic/Center 4500 Trade Center Drive, Bakersfield, CA 93311 2016-05-06
1316300767 Ellen Mccrary Optometrist 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 2016-04-02
1083076764 Pratik Patel Dentist 8701 Camino Media Ste A, Bakersfield, CA 93311 2016-03-22
1194196832 Providence Medical Group General Acute Care Hospital 1806 Wadsworth Avenue, Bakersfield, CA 93311 2015-10-07
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831790112 Universal Healthcare Services, Inc. Family Medicine 6025 Niles St, Bakersfield, CA 93306-4696 2020-11-04
1265068092 Universal Healthcare Services, Inc. Family Medicine 2123 Niles Street, Bakersfield, CA 93305-5007 2020-03-12
1326693524 Yaqsa, Inc. Family Medicine 4040 San Dimas St Ste A, Bakersfield, CA 93301-1299 2019-08-05
1477117240 Kristi Sakamoto Family Medicine 9330 Stockdale Hwy Ste 200, Bakersfield, CA 93311-3615 2019-04-26
1568928471 Natalia Obando Cabrejo Family Medicine 9880 Brimhall Rd Unit 100, Bakersfield, CA 93312-2799 2019-02-15
1538623541 Universal Healthcare Services, Inc. Family Medicine 8325 Brimhall Rd Ste 100a, Bakersfield, CA 93312-2244 2019-01-23
1508320797 Universal Healthcare Services, Inc. Family Medicine 2734 Ming Ave, Bakersfield, CA 93304-4431 2019-01-22
1023502853 Kendall Christine Lubatti Family Medicine 8307 Brimhall Rd Ste 1707, Bakersfield, CA 93312-4343 2018-06-15
1588153126 Infusion and Clinical Services, Inc Family Medicine 5401 White Ln Ste A, Bakersfield, CA 93309-6279 2018-05-09
1629576384 Universal Urgent Care, PC Family Medicine 2728 Ming Ave, Bakersfield, CA 93304-4431 2018-01-29
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Competitor

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City BAKERSFIELD
Zip Code 93311

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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