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

Marc Franz Rivera Dedios, PA-C

Individual provider Computed Tomography Radiologic Technologist · NPI 1932817194

Marc Franz Rivera Dedios, PA-C is a Computed Tomography Radiologic Technologist in San Diego, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

35000 Guadalcanal St
San Diego, CA 92140-5599
Phone: (619) 524-4045
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000 — (619) 432-7968
  • 34800 Bob Wilson Dr, San Diego, CA 92134-7000 — (619) 532-6400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Computed Tomography Radiologic Technologist Taxonomy 2471C3401X · Licence 535689 (CA)
Radiography Radiologic Technologist Taxonomy 2471C3402X · Licence 535689 (CA)

Record details

NPI number1932817194
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 7, 2022
Last updated in NPPESJune 24, 2024
Certification dateJune 13, 2024

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