JUAN ALFREDO BEDOLLA
NPI 1386850998
Nurse Practitioner - Psychiatric/Mental Health in Fresno, CA

Active since May 14, 2007PECOS Enrolled
1350 O ST STE 302, FRESNO, CA 93721(559) 369-4625(559) 369-7259 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2026, Apr 16, 2024, May 11, 2021 and 4 more (7 updates tracked since 2017).

About Juan Alfredo Bedolla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN ALFREDO BEDOLLA (NPI 1386850998) is an individual psychiatric/mental health provider in Fresno, California, licensed in California (95005969) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1386850998
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJUAN ALFREDO BEDOLLA
Location Address1350 O ST STE 302Fresno, CA 93721-1828
Mailing AddressPo Box 25042Fresno, CA 93729-5042 · (559) 369-4625 · Fax (559) 693-7259
Fax(559) 369-7259
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 16, 20267 updates tracked since enumeration
NPPES CertifiedAugust 16, 2026
✔ NPI 1386850998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95005969
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95059739 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95059739 (CA)
1350 O ST STE 302, Fresno, CA 93721

Other Names 1

Professional Name (2)Juan Alfredo Bedolla

Secondary Practice Locations 6

Location 11060 W Sierra Ave Ste 105Fresno, CA 93711-2063 · Phone (559) 721-5656
Location 24411 E Kings Canyon RdFresno, CA 93702-3604 · Phone (559) 453-1008
Location 326135 Mureau Rd Ste 101Calabasas, CA 91302-3125 · Phone (844) 496-9160
Location 41350 O St Ste 302Fresno, CA 93721-1828 · Phone (559) 369-4625 · Fax (559) 369-7259
Location 5400 W Mineral King AveVisalia, CA 93291-6237 · Phone (559) 624-2000
Location 64411 N Cedar AveFresno, CA 93726-2538 · Phone (559) 248-1548

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Alfredo Bedolla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Juan Bedolla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1350 O ST STE 302
Fresno, CA 93721
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2505 MERCED ST
Fresno, CA 93721
  • Reassigned Medicare billing, California enrollment
  • 169 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1350 O ST STE 302
FRESNO, CA 93721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Bedolla's NPI number?

The NPI number for Juan Bedolla is 1386850998. It was assigned to this individual provider in the NPPES registry on May 14, 2007. The provider is also known as Juan Alfredo Bedolla.

Where is Juan Bedolla located?

Juan Bedolla practices at 1350 O St Ste 302, Fresno, CA 93721. The listed phone number is (559) 369-4625.

What is Juan Bedolla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Juan Bedolla enrolled in Medicare?

Yes. Juan Bedolla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Juan Bedolla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Bedolla reassigns Medicare benefits to 2 organizations: Power Mental Health Services Inc (Fresno, CA) and Omni Family Health (Fresno, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Bedolla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Juan Bedolla was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.