Individual provider Active NPI

Joel Alan Badeaux, M.D.

  • Psychiatry Physician
  • La Canada Flintridge, CA
National Provider Identifier
1992953517
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A115633 Issued in CA
Practice address
5039 Westslope LN
La Canada Flintridge, CA 91011-2766
Phone
(323) 487-0874
Fax
(323) 928-2485
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Joel a Badeaux, MD, a Professional Corp Psychiatry CurrentSince Jul 2, 2023 Accepting new patients
South County Mental Health Past Accepting new patients
Puentes Al Sur Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A115633 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

5039 Westslope LN
La Canada Flintridge, CA 91011-2766

Mailing address

5039 Westslope LN
La Canada Flintridge, CA 91011-2766
Phone (323) 487-0874

Other practice location 1

604 Pearl St
Monterey, CA 93940-3070
Phone (831) 649-4522

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
ZZZ92069ZOtherCACOUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
FHC70042F, FHC70044OtherCACOUNTY OF SANTA CRUZ MEDI-CAL PROVIDER #S
ZZZ91892ZZOtherCACOUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
ZZZ91891ZOtherCACOUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 29, 2023.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1992953517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 WESTSLOPE LN",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910112766",
            "telephone_number": "323-487-0874",
            "fax_number": "323-928-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 WESTSLOPE LN",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910112766",
            "telephone_number": "323-487-0874",
            "fax_number": "323-928-2485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939403070",
            "country_code": "US",
            "telephone_number": "831-649-4522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADEAUX",
        "first_name": "JOEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A115633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#",
            "identifier": "ZZZ92069Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF SANTA CRUZ MEDI-CAL PROVIDER #S",
            "identifier": "FHC70042F, FHC70044",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#",
            "identifier": "ZZZ91892ZZ",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#",
            "identifier": "ZZZ91891Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada Flintridge, CA

Sources for this page

Verify at the official NPI Registry.