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

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
1600 BAILEY AVE STE 2, NEEDLES, CA 92363(760) 326-9313(760) 326-2864 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Juan Pequeno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of San Bernardino
Same address
Mental Health (Including Community Mental Health Center)
1600 BAILEY AVE STE 2
Needles, CA 92363
  • Reassigned Medicare billing, California enrollment
  • 233 clinicians in this Medicare group
NPI 1508075805 (760) 326-9313

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

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
1600 BAILEY AVE STE 2
NEEDLES, CA 92363
San Bernardino County (760) 326-9313
COUNTY OF SAN BERNARDINO
Clinic/Center (Mental Health (Including Community Mental Health Center))
1600 BAILEY AVE STE 2
NEEDLES, CA 92363
San Bernardino County (760) 326-9313
MS. TAMARA LYN WEAVER LCSW
Social Worker (Clinical)
1600 BAILEY AVE STE 2
NEEDLES, CA 92363
San Bernardino County (760) 326-9272
ROSALIE DAWN WILEY
Day Training/Habilitation Specialist
1600 BAILEY AVE STE 2
NEEDLES, CA 92363
San Bernardino County (760) 326-9313
DAVID C RUBIO
Marriage & Family Therapist
1600 BAILEY AVE STE 2
NEEDLES, CA 92363
San Bernardino County (760) 326-9313
EVETTE RENEE JONES LVN
Licensed Vocational Nurse
1600 BAILEY AVE STE 2
NEEDLES, CA 92363
San Bernardino County (760) 326-9313

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 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.

Where is Juan Pequeno located?

Juan Pequeno practices at 1600 Bailey Ave Ste 2, Needles, CA 92363. The listed phone number is (760) 326-9313.

What is Juan Pequeno's specialty?

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

Is Juan Pequeno enrolled in Medicare?

Yes. Juan Pequeno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Juan Pequeno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Pequeno reassigns Medicare benefits to County Of San Bernardino (Needles, CA). The 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 Pequeno'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 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.