TEODORO P. NISSEN M.D., INC
NPI 1629248109
Specialist in Vallejo, CA

Q: What is Teodoro P. Nissen M.D., Inc's NPI number?

The NPI number for Teodoro P. Nissen M.D., Inc is 1629248109. It was assigned to this organization in the NPPES registry on March 11, 2008. The provider is also known as Bay Area Orthopedic Surgery and Sports Medicine.

Q: What is Teodoro P. Nissen M.D., Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 11, 2008

1460 N CAMINO ALTO STE 201, VALLEJO, CA 94589(707) 645-7210(707) 645-7249 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Teodoro P. Nissen M.d., Inc NPPES

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

TEODORO P. NISSEN M.D., INC (NPI 1629248109) is a healthcare organization registered as a specialist in Vallejo, California and active in the NPI registry since March 2008. The organization lists Teodoro Pedro Nissen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629248109

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameTEODORO P. NISSEN M.D., INC

Location Address1460 N CAMINO ALTO STE 201Vallejo, CA 94589-2567

Mailing Address1460 N Camino Alto Ste 201Vallejo, CA 94589-2567 · (707) 645-7210 · Fax (707) 645-7249

Phone(707) 645-7210

Fax(707) 645-7249

Organization SubpartNo

Authorized OfficialTeodoro Pedro NissenCeo · (707) 645-7210

Enumeration DateMarch 11, 2008

Last NPPES UpdateFebruary 12, 2026

NPPES CertifiedFebruary 12, 2026

✔ NPI 1629248109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A77901

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1460 N CAMINO ALTO STE 201, Vallejo, CA 94589

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Other Names 1

Other NameBay Area Orthopedic Surgery And Sports Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teodoro P. Nissen M.d., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Teodoro P. Nissen M.D., Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Teodoro Nissen, M.D.

Orthopedic Surgery

NPI 1699791053

1460 N CAMINO ALTO STE 201
Vallejo, CA 94589

(707) 645-7210

✔ PECOS✔ Accepts MedicareSame address

Joseph Centeno, MD

Orthopedic Surgery

NPI 1124086137

499 DEVLIN RD
Napa, CA 94558

(707) 645-7210

✔ PECOS✔ Accepts Medicare6.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Teodoro P. Nissen M.D., Inc's NPI number?

The NPI number for Teodoro P. Nissen M.D., Inc is 1629248109. It was assigned to this organization in the NPPES registry on March 11, 2008. The provider is also known as Bay Area Orthopedic Surgery and Sports Medicine.

Where is Teodoro P. Nissen M.D., Inc located?

Teodoro P. Nissen M.D., Inc is located at 1460 N Camino Alto Ste 201, Vallejo, CA 94589. The listed phone number is (707) 645-7210.

What is Teodoro P. Nissen M.D., Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Teodoro P. Nissen M.D., Inc enrolled in Medicare?

Yes. Teodoro P. Nissen M.D., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Teodoro P. Nissen M.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Teodoro P. Nissen M.D., Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Teodoro P. Nissen M.D., Inc accept?

Health plans from Sanford Health Plan list Teodoro P. Nissen M.D., Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teodoro P. Nissen M.D., Inc was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.