JEAN JOSEPH DANSEREAU (MD) – Psychiatry Physician, NPI 1568414712

JEAN JOSEPH DANSEREAU (MD) is a healthcare provider. based in Paso robles, California. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. A44031 (CA). The NPI Number for JEAN JOSEPH DANSEREAU (MD) is 1568414712

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
JEAN JOSEPH DANSEREAU (MD)
NPI
1568414712
Phone
(805) 591-9806
Address
141 FLAG WAY
Enumeration Date
16 May 2006
Last Update Date
14 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8056476322
Graduation Year
1985 (41 years ago)
PAC ID
6103805684
Group Practice PAC ID
3173434396
Professional Enrollment ID
I20040717000405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JEAN JOSEPH DANSEREAU (MD)

  • 141 FLAG WAY

    PASO ROBLES, CA 934463439

    Phone: (805) 591-9806

    Type: Mailing

  • 520 E TULARE AVE

    VISALIA, CA 932923629

    Phone: (559) 623-0931

    Type: Location

  • 1040, Flynn Road, Camarillo, Ventura County, California, 93012, United States

    CAMARILLO, CA 930125092

    Phone: (805) 673-3930

    Fax: (805) 659-3217

    Type: Mailing

  • 650, Meta Street, Oxnard, Ventura County, California, 93030, United States

    OXNARD, CA 930307182

    Phone: (805) 487-5351

    Fax: (805) 647-7164

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $352.

Total Amount is formed as General ($352) + Research ($0) + Ownership ($0) = $352.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: ABBVIE INC. ($215).

Total Amount

$352

General + Research + Ownership

Payments

18

Total payment records

General Amount

$352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040717000405IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93446)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173434396View full group profile
NameSpecialtyState
Physician AssistantCA
Family Practice, Emergency MedicineCA
O P T O M E T R YCA
O P T O M E T R YCA
-CA
Physician AssistantCA
Physician AssistantCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YKY
Physician AssistantCA

Reviews

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Frequently asked questions

What is JEAN JOSEPH DANSEREAU (MD)'s NPI number?
JEAN JOSEPH DANSEREAU (MD)'s NPI is 1568414712 — the number used across U.S. healthcare to identify this provider.
Is JEAN JOSEPH DANSEREAU (MD) shown as active in public data?
Registry records indicate JEAN JOSEPH DANSEREAU (MD) maintains an active NPI.
What kind of doctor is JEAN JOSEPH DANSEREAU (MD)?
JEAN JOSEPH DANSEREAU (MD) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is JEAN JOSEPH DANSEREAU (MD) located near Paso Robles?
JEAN JOSEPH DANSEREAU (MD) currently maps to Paso Robles, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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