Individual provider Active NPI

Giles A Duesdieker, M.D.

  • Diagnostic Radiology Physician
  • Salinas, CA
National Provider Identifier
1831153808
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G47030 Issued in CA
Practice address
559 Abbott St
Salinas, CA 93901-4325
Phone
(831) 775-5200
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G47030 CA Primary

Addresses

Primary practice location

559 Abbott St
Salinas, CA 93901-4325

Mailing address

627 Brunken Ave
Suite a
Salinas, CA 93901-5002
Phone (831) 796-3740

Other identifiers 1

IdentifierTypeStateIssuer
00G470300MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G47030CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Valley Radiologists Diagnostic Radiology Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1831153808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BRUNKEN AVE",
            "address_2": "SUITE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939015002",
            "telephone_number": "831-796-3740",
            "fax_number": "831-751-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 ABBOTT ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014325",
            "telephone_number": "831-775-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUESDIEKER",
        "first_name": "GILES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G47030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G470300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.