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GEOFFREY PAUL WIEDEMAN JR. M.D.
NPI 1790721132
Specialist in Sacramento, CA

Active since June 22, 2006
1201 ALHAMBRA BLVD, 410, SACRAMENTO, CA 95816(916) 457-4263(916) 731-7809 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Geoffrey Paul Wiedeman Jr. M.d. NPPES

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

GEOFFREY PAUL WIEDEMAN JR. M.D. (NPI 1790721132) is an individual specialist in Sacramento, California, licensed in California (G30750) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1790721132
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGEOFFREY PAUL WIEDEMAN JR.Credential: M.D.
Location Address1201 ALHAMBRA BLVD, 410Sacramento, CA 95816-5243
Mailing Address1201 Alhambra Blvd, 410Sacramento, CA 95816-5243 · (916) 457-4263 · Fax (916) 731-7809
Phone(916) 457-4263
Fax(916) 731-7809
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateAugust 9, 2010
✔ NPI 1790721132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G30750
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1201 ALHAMBRA BLVD, Sacramento, CA 95816
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Other Identifiers 2

Medicare NSC1790721132CA
Medicare UPINA44536

Other Providers at the Same Location NPPES 20

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

MELANY J. CORYEA P.T.A.
Physical Therapy Assistant
1201 ALHAMBRA BLVD, SUITE 200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
SUTTER VALLEY MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
1201 ALHAMBRA BLVD, #200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
JAHNA C CARRERAS PTA
Physical Therapy Assistant
1201 ALHAMBRA BLVD, #200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
LUCIA P RAEL PTA
Physical Therapy Assistant
1201 ALHAMBRA BLVD, SUITE 200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
ANNALYSE FELDMAN DO
Family Medicine
1201 ALHAMBRA BLVD, SUITE 230
SACRAMENTO, CA 95816
Sacramento County (916) 731-7848
UYEN HUYNH FREITAS NP
Nurse Practitioner (Family)
1201 ALHAMBRA BLVD
SACRAMENTO, CA 95816
Sacramento County (916) 731-7925
MS. ALICIA GORDON
Physician Assistant
1201 ALHAMBRA BLVD, #230
SACRAMENTO, CA 95816
Sacramento County (916) 731-7728
NICOLE CALVILLO M.D.
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD, SUITE 340
SACRAMENTO, CA 95816
Sacramento County (916) 451-4400

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 Geoffrey Wiedeman's NPI number?

The NPI number for Geoffrey Wiedeman is 1790721132. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Geoffrey Wiedeman located?

Geoffrey Wiedeman practices at 1201 Alhambra Blvd 410, Sacramento, CA 95816. The listed phone number is (916) 457-4263.

What is Geoffrey Wiedeman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Geoffrey Wiedeman was last updated on August 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.