DR. JUAN CARLOS PEQUENO MD - NPI 1477537942 - Psychiatry & Neurology in Needles, CA

Q: What is Juan Pequeno's NPI number?

The NPI number for Juan Pequeno is 1477537942. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Juan Pequeno's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Q: When was this NPI record last updated?

The NPPES record for Juan Pequeno was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

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About Dr. Juan Carlos Pequeno Md NPPES

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

DR. JUAN CARLOS PEQUENO MD (NPI 1477537942) is an individual addiction psychiatry provider in Needles, California, licensed in California (A61571) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1477537942

Entity TypeIndividualMale

Primary Taxonomy2084P0802X

Provider Legal NameDR. JUAN CARLOS PEQUENOCredential: MD

Location Address1600 BAILEY AVE STE 2Needles, CA 92363-3105

Mailing Address303 E Vanderbilt WaySan Bernardino, CA 92415-0026 · (909) 388-0806

Phone(760) 326-9313

Fax(760) 326-2864

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateNovember 30, 2005

Last NPPES UpdateDecember 21, 2020

NPPES CertifiedDecember 21, 2020

✔ NPI 1477537942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0802X

License✔ Licensed in CA · A61571

Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License AZ28640 (AZ)

1600 BAILEY AVE STE 2, Needles, CA 92363

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Juan Carlos Pequeno Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395716351

PECOS Enrollment IDI20090630000427

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.

Other Providers at the Same Location NPPES 6

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

OLON WAFER

Case Manager/Care Coordinator