Dr. George Tiedeman , MD
General Practice • La Jolla, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. George Tiedeman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. George Tiedeman, MD was a registered General Practice practicing in La Jolla, CA. Throughout an active medical career spanning 12 years, Dr. Tiedeman provided care at the practice location at 849 COAST BLVD until profile deactivation on 2025-09-18.
Practice Location & Contact Primary Location
849 Coast Blvd
# Cm 212
La Jolla, CA 920374223
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in La Jolla, CA
Practicing in La Jolla, CA (2300 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Occupational Therapist
Master of Occupational Therapy
Occupational Therapist - Pediatrics
Occupational Therapist
Speech-Language Pathologist
Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)
Occupational Therapist
Occupational Therapist Registered, L
Hearing Instrument Specialist
Master of Arts
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 18, 2025
NPI status registered as active in NPPES database
Registered at 849 COAST BLVD, # CM 212, LA JOLLA, CA 920374223 (Tel: 8584564183)
Registered at 849 COAST BLVD, # CM 212, LA JOLLA, CA 920374223 (Tel: 8584564183)
Recorded as GEORGE TIEDEMAN, M.D.
General Practice (License #A25115 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
849 Coast Blvd, # Cm 212
La Jolla, CA 920374223
Phone: 8584564183
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