Active NPI
Joel Alan Badeaux, M.D.
- Psychiatry Physician
- La Canada Flintridge, CA
National Provider Identifier
1992953517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A115633
- 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.
-
- Psychiatry Physician
- La Canada Flintridge, CA
- NPI 1831705383
Psychiatry
-
- Adult Mental Health Clinic/Center
- Watsonville, CA
- NPI 1992849012
-
- Adult Mental Health Clinic/Center
- Watsonville, CA
- NPI 1801930920
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel a Badeaux, MD, a Professional Corp | Psychiatry | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A115633 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ92069Z | Other | CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| FHC70042F, FHC70044 | Other | CA | COUNTY OF SANTA CRUZ MEDI-CAL PROVIDER #S |
| ZZZ91892ZZ | Other | CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| ZZZ91891Z | Other | CA | COUNTY 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.