ANDRE TODD DEJEAN MD
NPI 1639140700
Family Medicine in Bakersfield, CA

Q: What is Andre Dejean's NPI number?

The NPI number for Andre Dejean is 1639140700. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Andre Dejean's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Andre Dejean was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 27, 2006PECOS Enrolled

4900 CALIFORNIA AVE, BAKERSFIELD, CA 93309(661) 630-7047 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2026, Apr 11, 2017, Dec 29, 2015 (3 updates tracked since 2015).

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About Andre Todd Dejean Md NPPES

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

ANDRE TODD DEJEAN MD (NPI 1639140700) is an individual family medicine provider in Bakersfield, California, licensed in California (C144686) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639140700

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANDRE TODD DEJEANCredential: MD

Location Address4900 CALIFORNIA AVEBakersfield, CA 93309-7024

Mailing Address4900 California Ave Ste 400bBakersfield, CA 93309-7081 · (661) 630-7047

Phone(661) 630-7047

Sole ProprietorNo

Enumeration DateJanuary 27, 2006

Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1639140700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · C144686

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.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License C144686 (CA)

4900 CALIFORNIA AVE, Bakersfield, CA 93309

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Other Identifiers 2

Medicaid036098449IL

MedicaidC144686CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andre Todd Dejean Md 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

Medicare enrollment records show Andre Dejean reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Community Health Network

1,718 mi

Federally Qualified Health Center (FQHC)

245 W ROOSEVELT RD
West Chicago, IL 60185

Reassigned Medicare billing, Illinois enrollment
413 clinicians in this Medicare group

NPI 1710065164 (630) 293-4124

Medplus, S.C.

1,737 mi

Internal Medicine

9680 GOLF RD
Des Plaines, IL 60016

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1770538753 (847) 699-0800

Chandra Diagnostic Cardiology Ltd

1,743 mi

Cardiovascular Disease

3330 W 177TH ST STE 3E
Hazel Crest, IL 60429

Reassigned Medicare billing, Illinois enrollment
8 clinicians in this Medicare group

NPI 1336162783 (708) 798-4500

K.A.M Alliance, Inc.

1,745 mi

Community/Behavioral Health

2215 W 95TH ST STE 100
Chicago, IL 60643

Reassigned Medicare billing, Illinois enrollment
11 clinicians in this Medicare group

NPI 1003046152 (773) 239-9600

Foundation For Emergency Services

1,747 mi

Primary Care

8331 S STEWART AVE
Chicago, IL 60620

Reassigned Medicare billing, Illinois enrollment
49 clinicians in this Medicare group

NPI 1992053029 (773) 420-1234

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

59 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93309 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

$91.09 typical visit price

range $59.26 – $178.09

Typical copayment $22.77 (range $14.81 – $44.52)

Most-billed visit code 99203

Established Patient

$104.09 typical visit price

range $19.34 – $145.64

Typical copayment $26.02 (range $4.83 – $36.41)

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 20

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

JANET ELAINE BARENCHI RN

Registered Nurse

4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309

Kern County (800) 330-6664

MR. DAVID VALENTINO RAMOS JR. NP

Nurse Practitioner (Psychiatric/Mental Health)

4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309

Kern County (855) 323-2700

SUPERB GROWTH ABA

Behavior Analyst

4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309

Kern County (845) 445-6777

SORAYA DUSTIN LCSW

Social Worker (Clinical)

4900 CALIFORNIA AVE, TOWER B 2ND FL
BAKERSFIELD, CA 93309

Kern County (901) 422-7636

CRYSTAL ARROYO

Behavior Technician

4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309

Kern County (818) 241-6780

DO CARE UC LLC

Clinic/Center (Urgent Care)

4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309

Kern County (916) 604-4793

DOMINADOR CABILDO IGNACIO III NP-C

Nurse Practitioner (Family)

4900 CALIFORNIA AVE, SUITE 400B
BAKERSFIELD, CA 93309

Kern County (661) 459-1900

ANURADHA TIRUPASUR PHARMD

Pharmacist

4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309

Kern County (661) 459-1900

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 Andre Dejean's NPI number?

The NPI number for Andre Dejean is 1639140700. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Andre Dejean located?

Andre Dejean practices at 4900 California Ave, Bakersfield, CA 93309. The listed phone number is (661) 630-7047.

What is Andre Dejean's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andre Dejean enrolled in Medicare?

Yes. Andre Dejean is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andre Dejean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Dejean reassigns Medicare benefits to 5 organizations: Access Community Health Network (West Chicago, IL), Medplus, S.C. (Des Plaines, IL), Chandra Diagnostic Cardiology Ltd (Hazel Crest, IL), K.A.M Alliance, Inc. (Chicago, IL) and Foundation For Emergency Services (Chicago, IL). 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 Andre Dejean'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 Andre Dejean was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.