Teodoro P. Nissen M.D., Inc
NPI 1629248109 · Specialist · Vallejo, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teodoro P. Nissen M.D., Inc is a Specialist organization in Vallejo, CA (NPI 1629248109).
Provider details
- NPI number
- 1629248109
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Teodoro Nissen, Ceo(707) 645-7210
- License
- A77901 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Bay Area Orthopedic Surgery and Sports Medicine
- Other name
- Bay Area Orthopedic Surgery and Sports Medicine
Registry dates
- Enumerated
- 2008-03-11
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Frequently asked questions
- What is Teodoro P. Nissen M.D., Inc's NPI number?
- Teodoro P. Nissen M.D., Inc's National Provider Identifier (NPI) is 1629248109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teodoro P. Nissen M.D., Inc?
- Teodoro P. Nissen M.D., Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Teodoro P. Nissen M.D., Inc located?
- Teodoro P. Nissen M.D., Inc's practice location on file with NPPES is 1460 N Camino Alto Ste 201, Vallejo, CA 94589-2567.
- What is Teodoro P. Nissen M.D., Inc's phone number?
- The practice phone number listed in the NPPES registry for Teodoro P. Nissen M.D., Inc is (707) 645-7210.
- Does Teodoro P. Nissen M.D., Inc accept Medicare?
- Teodoro P. Nissen M.D., Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Teodoro P. Nissen M.D., Inc?
- The authorized official listed on Teodoro P. Nissen M.D., Inc's NPPES record is Teodoro Nissen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teodoro P. Nissen M.D., Inc's NPI active?
- Yes — Teodoro P. Nissen M.D., Inc's NPI (1629248109) is active in the NPPES registry as of the last update on 2026-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.