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

Geoffrey Paul Wiedeman Jr., MD

Individual provider Specialist · NPI 1790721132

Geoffrey Paul Wiedeman Jr., MD is a Specialist in Sacramento, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

1201 Alhambra Blvd 410
Sacramento, CA 95816-5243
Phone: (916) 457-4263
Fax: (916) 731-7809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G30750 (CA)

Record details

NPI number1790721132
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESAugust 9, 2010

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