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DR. JEAN WILLIAM BARDENHEIER M.D.
NPI 1780620138
General Practice in Glendora, CA

Active since June 22, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0899795 · Microscopy
552 W FOOTHILL BLVD # 100, GLENDORA, CA 91741(626) 335-4079 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 8, 2025, Dec 5, 2025, Feb 21, 2020 (3 updates tracked since 2020).

About Dr. Jean William Bardenheier M.d. NPPES

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

DR. JEAN WILLIAM BARDENHEIER M.D. (NPI 1780620138) is an individual general practice provider in Glendora, California, licensed in California (G26965) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through April 6, 2027, and maintains a secondary practice location in Azusa.

NPPES Registry Identity

NPI1780620138
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JEAN WILLIAM BARDENHEIERCredential: M.D.
Location Address552 W FOOTHILL BLVD # 100Glendora, CA 91741-2470
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(626) 335-4079
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1973
Enumeration DateJune 22, 2006
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1780620138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G26965
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
552 W FOOTHILL BLVD # 100, Glendora, CA 91741
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Secondary Practice Location 1

Location 1914 E Gladstone StAzusa, CA 91702-4747 · Phone (626) 966-4506

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. Jean William Bardenheier M.d. 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 ID2769656842
PECOS Enrollment IDI20111130000143
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0899795

Jean Bardenheier, MD · Azusa, CA
Active · expires Apr 6, 2027
CLIA Number05D0899795
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorJean W. Bardenheier, MD
Laboratory Phone(818) 966-4506
Laboratory LocationJean Bardenheier, MD914 E Gladstone Street, Azusa, CA 91702
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 7

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.
141 services76 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
87 services77 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
79 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
77 services77 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.
72 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services41 patients

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims24 services$5.75 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$19.32 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier15 claims15 services$8.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

AMY MY LY PA
Physician Assistant
552 W FOOTHILL BLVD # 100
GLENDORA, CA 91741
Los Angeles County (626) 335-4079

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 Jean Bardenheier's NPI number?

The NPI number for Jean Bardenheier is 1780620138. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Jean Bardenheier located?

Jean Bardenheier practices at 552 W Foothill Blvd # 100, Glendora, CA 91741. The listed phone number is (626) 335-4079.

What is Jean Bardenheier's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jean Bardenheier enrolled in Medicare?

Yes. Jean Bardenheier 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.

Does Jean Bardenheier hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0899795) is associated with this NPI, valid through April 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jean Bardenheier was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.