MICHAEL GEDESTAD DO – NPI #1083114359
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

MICHAEL GEDESTAD is a physician located in FPO, AA. NPPES has assigned the NPI number 1083114359 to MICHAEL GEDESTAD on February 13, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Aug 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL GEDESTAD below.

NPI Profile for
MICHAEL GEDESTAD

NPI Number
1083114359
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL GEDESTAD
Credentials
DO
Primary location
34800 BOB WILSON DR.
FPO, AA 92134
Phone: (619) 532-6400 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 VA 0102205790

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.