Dr. Theodore Joseph Jerdee, M.D.
Dr. Theodore Joseph Jerdee is a Diagnostic Radiology Physician provider (Radiology) practicing in Travis Afb, CA, registered in the NPPES registry with NPI 1104806397 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104806397 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Theodore Joseph Jerdee |
| Credential | M.D. |
| Sex | Male |
| Practice address | 101 BODIN CIR, 60 MDG/SGQX, Travis Afb, CA, 94535 |
| Phone | 7074237182 |
| Enumeration date | 2006-01-23 |
| Last updated in NPPES | 2014-07-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | C53747 | CA |
| 208D00000X | General Practice Physician | Secondary | 22461 | OK |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Theodore Jerdee, M.D. NPI: 1104806397 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 101 BODIN CIR, 60 MDG/SGQX, Travis Afb, CA, 94535
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801893276 | Charles Tujo | Individual | Diagnostic Ultrasound Physician | Travis Afb, CA |
| 1750381109 | Paul Dandrea | Individual | Aerospace Medicine Physician | Travis Afb, CA |
| 1750374138 | Anita Patil | Individual | Family Medicine Physician | Travis Afb, CA |
| 1386638658 | Robert Williams | Individual | Clinical Social Worker | Travis Afb, CA |
| 1487648531 | Ramone Toliver | Individual | Emergency Medicine Physician | Travis Afb, CA |
| 1619961430 | Linda Lawrence | Individual | Emergency Medicine Physician | Travis Afb, CA |
| 1760476584 | Constance Huff | Individual | Pediatric Dentistry | Travis Afb, CA |
| 1427042100 | Robert Jesinger | Individual | Diagnostic Radiology Physician | Travis Afb, CA |
Verify this record
Cross-check NPI 1104806397 against the authoritative CMS record: view Dr. Theodore Joseph Jerdee on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-07-25.