Jean Joseph Dansereau, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A44031 Issued in CA

Practice address

520 E Tulare Ave
Visalia, CA 93292-3629

Phone

(559) 623-0931

NPI assigned

May 16, 2006

Last updated

Feb 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real, Inc., Ventura

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
  • NPI 1679631907
  Medicare reassignment NPD
• County of Monterey

  dba Adult Services Program Salinas Valley

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1467584805
  Medicare reassignment
• Pacific Psychiatry Inc., a Professional Medical Corporation

  dba Pacific Psychiatry,Inc.

  • Psychiatry Physician
  • San Luis Obispo, CA
  • NPI 1902317472
  Medicare reassignment
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real Inc Roberto S Juarez

  • Community Health Clinic/Center
  • Oxnard, CA
  • NPI 1235866138
  NPD
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real Inc Maravilla

  • Federally Qualified Health Center (FQHC)
  • Oxnard, CA
  • NPI 1518183904
  NPD
• County of Monterey Behavioral Health

  dba Monterey County Behavioral Health King City Clinic

  • Community/Behavioral Health Agency
  • King City, CA
  • NPI 1306033220
  NPD
• St. Joseph Hospital, LLC

  • Psychiatric Hospital Unit
  • Lewiston, ID
  • NPI 1205975851
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1568414712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 FLAG WAY",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463439",
            "telephone_number": "805-591-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E TULARE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923629",
            "telephone_number": "559-623-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSEREAU",
        "first_name": "JEAN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A44031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC71031F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70693F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC03884F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70936F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anoop Singh Danewalia
• Thu Dang, DO
• Daniel a Watrous (Sierra Pacific Arthritis & Rheumatology Centers)
• Jordan Daniels, PA
• Trevor Allen Daniels, PSY.D.
• Davinder Dara
• Dyvakrupakar Rangarao Daram
• Geoffrey Christopher Darby, M.D.
• Tiffany Jean Ocampo Darrett, PPS PUPIL PERSONNEL
• Dash Therapy a Professional Corporation

• Psychiatry Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.