Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Benjamin David Wiederhold, MD

Individual provider Emergency Medicine Physician · NPI 1609190404

Dr. Benjamin David Wiederhold, MD is an Emergency Medicine in Oakland, California. Graduated from University of California, San Francisco School of Medicine in 2007, 19 years ago. Practices with San Francisco Physicians International Medical Group Inc, a 39-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1411 E 31st St
Oakland, CA 94602-1018
Phone: (510) 437-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A109950 (CA)

Record details

NPI number1609190404
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2010
Last updated in NPPESMarch 23, 2010
Mailing address1411 E 31st St, Oakland, CA 94602-1018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice San Francisco Physicians International Medical Group Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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