Individual provider Active NPI

Wallace Reid Giedt, Jr., MD

  • Pediatrics Physician
  • Salinas, CA
National Provider Identifier
1811949993
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G46831 Issued in CA
Practice address
355 Abbott St Ste 100
Salinas, CA 93901-4484
Phone
(831) 751-7070
NPI assigned
May 16, 2006
Last updated
May 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G46831 CA Primary

Addresses

Primary practice location

355 Abbott St Ste 100
Salinas, CA 93901-4484

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 242-8645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429003282 CA Practitioner - Pediatric Medicine 4587639554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince May 1, 2025 Accepting new patients
Svmhs Clinics CurrentSince May 1, 2025 Accepting new patients
Pediatric & Adolescent Medical Assoc. of the Pacific Coast Pediatrics Current Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

260 San Jose St
Salinas, CA 93901
Phone (831) 757-8124

355 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 751-7070

355 Abbott St
Ste 200
Salinas, CA 93901
Phone (831) 422-3636

Interoperability endpoints

  • Direct secure messaging: rgiedt21556@direct.svmh.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1811949993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-242-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 ABBOTT ST STE 100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014484",
            "telephone_number": "831-751-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEDT, JR.",
        "first_name": "WALLACE",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G46831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.