DR. TEODORO P NISSEN (NPI# 1699791053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699791053 |
| Entity Type | Individual |
| Full Name | DR. TEODORO P NISSEN |
| Credential | M.D. |
| Practice Address |
100 Hospital Dr Suite 303 Vallejo CA 94589-2580 |
| Practice Telephone | 7076457210 |
| Practice Fax Number | 7076457249 |
| Mailing Telephone | 7076457210 |
| Mailing Fax Number | 7076457249 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A77901 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
100 HOSPITAL DR SUITE 303 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893660 | Stacyann Andaya | Nurse Practitioner | 100 Hospital Dr, Vallejo, CA 94589-2580 | 2020-05-26 |
| 1255792099 | Denise Veloria | Obstetrics & Gynecology | 100 Hospital Dr, Vallejo, CA 94589-2580 | 2016-03-07 |
| 1639546914 | Monica A. Muzzin | Physician Assistant | 100 Hospital Dr, Vallejo, CA 94589-2580 | 2015-08-21 |
| 1134466956 | Mount Diablo Solano Oncology Group | Internal Medicine | 100 Hospital Dr, Suite 110b, Vallejo, CA 94589-2580 | 2013-01-14 |
| 1528399193 | Solano Hematology - Oncology | Internal Medicine | 100 Hospital Dr, Suite 110, Vallejo, CA 94589-2577 | 2010-01-21 |
| 1760610273 | Stella Mai Huang | Obstetrics & Gynecology | 100 Hospital Dr, Suite 200, Vallejo, CA 94589-2580 | 2009-06-24 |
| 1982839692 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 100 Hospital Dr, Vallejo, CA 94589 | 2009-05-26 |
| 1760620983 | Lois Corina Baeta | Registered Nurse | 100 Hospital Dr, Vallejo, CA 94589-2580 | 2009-01-26 |
| 1598931446 | Nor Cal Medical Group | Podiatrist | 100 Hospital Dr, Suite 303, Vallejo, CA 94589-2580 | 2008-05-01 |
| 1629248109 | Teodoro P. Nissen M.d., Inc | Specialist | 100 Hospital Dr, Suite 303, Vallejo, CA 94589-2580 | 2008-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033129028 | Robert Alan Gomez | Orthopaedic Surgery | 1460 North Camino Alto, Suite 210, Vallejo, CA 94589-2567 | 2006-08-09 |
| 1427514454 | Austin Thomas | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2019-02-14 |
| 1588984306 | Peter K Mansuripur | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589 | 2010-06-03 |
| 1821140625 | C. Edward Dawkins | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-18 |
| 1760540728 | Linda Helene Specht | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-12-04 |
| 1710051024 | Dennis W. Berge | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-20 |
| 1790859007 | Mark L. Bernstein | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-20 |
| 1831261684 | Michael C. Meehan | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-15 |
| 1366520264 | Dennis C. Chin | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1710065529 | Richard Lenson | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.