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

Dr. Theodore Joseph Jerdee, MD

Individual provider Diagnostic Radiology Physician · NPI 1104806397

Dr. Theodore Joseph Jerdee, MD is a Diagnostic Radiology in Travis AFB, California. Graduated from University of Minnesota Medical School in 2001, 25 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group and accepts Medicare assignment. Licensed in California and Oklahoma.

Years since qualifying
25
Trained at
University of Minnesota Medical School
Licensed in
CA, OK
In the registry since
2006
Specialties on file
2
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

101 Bodin Cir 60 Mdg/sgqx
Travis AFB, CA 94535-1809
Phone: (707) 423-7182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence C53747 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 22461 (OK)

Record details

NPI number1104806397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJuly 25, 2014
Mailing address101 Bodin Cir, 60 Mdg/Sgqx, Travis Afb, CA 94535-1809

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2001 (25 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Travis AFB