PROF. AMI CHIRSTINE TEODORO MLP-PA
NPI 1336316504
Physician Assistant - Medical in Oakland, CA

Active since May 15, 2008PECOS Enrolled
747 52ND ST, OAKLAND, CA 94609(510) 428-3238(510) 601-3904 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Ami Chirstine Teodoro Mlp-pa NPPES

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

PROF. AMI CHIRSTINE TEODORO MLP-PA (NPI 1336316504) is an individual medical provider in Oakland, California, licensed in California (PA19708) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336316504
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePROF. AMI CHIRSTINE TEODOROCredential: MLP-PA
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address500 University Ave Ste 100Sacramento, CA 95825-6527 · (916) 437-0570 · Fax (916) 437-0470
Fax(510) 601-3904
Sole ProprietorNo
Enumeration DateMay 15, 2008
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
NPI 1336316504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA19708
747 52ND ST, Oakland, CA 94609

Other Identifiers 1

OtherPA19708CA · Pac License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Prof. Ami Chirstine Teodoro Mlp-pa 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 20

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

Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609

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 Ami Teodoro's NPI number?

The NPI number for Ami Teodoro is 1336316504. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Ami Teodoro located?

Ami Teodoro practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3238.

What is Ami Teodoro's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ami Teodoro enrolled in Medicare?

Yes. Ami Teodoro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ami Teodoro was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.