DR. THEODORA J NELSON MD
NPI 1326130584
Pediatrics - Developmental - Behavioral Pediatrics in San Diego, CA

Active since September 28, 2006PECOS Enrolled
7910 FROST ST STE 230, SAN DIEGO, CA 92123(858) 246-0053(619) 496-9257 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2020, Nov 7, 2018 (2 updates tracked since 2018).

About Dr. Theodora J Nelson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORA J NELSON MD (NPI 1326130584) is an individual developmental - behavioral pediatrics provider in San Diego, California, licensed in California (G75021) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326130584
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDR. THEODORA J NELSONCredential: MD
Location Address7910 FROST ST STE 230San Diego, CA 92123-2776
Mailing Address7910 Frost St Ste 230San Diego, CA 92123-2776 · (858) 246-0053 · Fax (858) 496-9257
Fax(619) 496-9257
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateApril 17, 20202 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
NPI 1326130584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License Licensed in CA · G75021
Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPediatricsTaxonomy 208000000X · License G75021 (CA)
7910 FROST ST STE 230, San Diego, CA 92123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Theodora J Nelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Developmental - Behavioral Pediatrics)
7910 FROST ST STE 230
SAN DIEGO, CA 92123
Genetic Counselor, MS
7910 FROST ST STE 230
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodora Nelson's NPI number?

The NPI number for Theodora Nelson is 1326130584. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Theodora Nelson located?

Theodora Nelson practices at 7910 Frost St Ste 230, San Diego, CA 92123. The listed phone number is (858) 246-0053.

What is Theodora Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Theodora Nelson enrolled in Medicare?

Yes. Theodora Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodora Nelson was last updated on April 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.