THEODORE P NELSON (NPI# 1740636455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740636455 |
| Entity Type | Individual |
| Full Name | THEODORE P NELSON |
| Other Name | DR. THEODORE PAUL NELSON |
| Credential | D.O. |
| Practice Address |
11333 Sepulveda Blvd Mission Hills CA 91345-1116 |
| Mailing Address |
Po Box 9602 Mission Hills CA 91346-9602 |
| Practice Telephone | 8776343196 |
| Mailing Telephone | 8188375559 |
| Mailing Fax Number | 8187924793 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A15710 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 39020000X | CA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134167331 | Theodore Brooke Nelson | Physical Therapist | 5764 S Farm Road 203, Rogersville, MO 65742-6436 | 2006-06-02 |
| 1316190804 | Theodore Read Nelson | Dentist | 387 Sterling St, Lancaster, MA 01523-1843 | 2008-10-28 |
| Street Address |
11333 SEPULVEDA BLVD |
| City | MISSION HILLS |
| State | CA |
| Zip Code | 91345-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710977731 | Sharon Lynn Lindsey | Physical Therapist | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2005-10-21 |
| 1245876770 | Carolnn Yong | Pharmacist | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2019-11-19 |
| 1942861182 | Justin Jacob Ramirez | Emergency Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2019-06-27 |
| 1326535105 | Ninia R Carvajal | Nurse Practitioner | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2018-04-17 |
| 1861992141 | Harry Avellona | Registered Nurse | 11333 Sepulveda Blvd, Mission Hills, CA 91345 | 2018-02-13 |
| 1447769153 | Young Bin Park | Nurse Practitioner | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-09-26 |
| 1043735939 | Maria Behrooj | Nurse Practitioner | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-08-11 |
| 1528581519 | Rolando Castillo | Nurse Practitioner | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-07-21 |
| 1467974550 | Kristina P Yun | Optometrist | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-07-11 |
| 1154854826 | Sarah R Ahmed | Internal Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141499 | Alpha Hospice | Hospice Care, Community Based | 15455 Devonshire St Suite 100a, Mission Hills, CA 91345 | 2020-10-12 |
| 1740725639 | Vivian Insua-lopez, Psy.d, Psychologist, Inc | Psychologist | 15455 San Fernando Misson Blvd., #308, Mission Hills, CA 91345 | 2016-12-30 |
| 1699162941 | Nancy M Kim Inc | Family Medicine | 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 | 2015-04-23 |
| 1881940088 | Prohealth-valley Occupational Medical Group | Clinic/Center | 10630 Sepulveda Blvd., Suite 100, Mission Hills, CA 91345 | 2012-07-25 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1679860084 | Mirna G Villatoro | Residential Treatment Facility, Physical Disabilities | 11100 Sepulveda Blvd, # 232, Mission Hills, CA 91345 | 2011-07-06 |
| 1093010944 | Ana Yvette Alvarez | Rehabilitation Practitioner | 11565 Laurel Canyon Blvd. Suite 116, Mission Hills, CA 91345 | 2011-01-24 |
| 1811226392 | Tender Home Health | Home Health | 10117 Sepulveda Blvd Ste 205a, Mission Hills, CA 91345 | 2009-12-14 |
| 1033387279 | Jamal Elias Khoury | Chiropractor | 15336 Devonshire St. Ste 3, Mission Hills, CA 91345 | 2008-02-11 |
| 1043497282 | Ana Elena Aldana | Counselor | 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 | 2008-01-30 |
| Find all providers in zip 91345 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912411885 | Dr Anil Date Md | Family Medicine | 11550 Indian Hills Rd Ste 350, Mission Hills, CA 91345-1252 | 2017-11-29 |
| 1699162941 | Nancy M Kim Inc | Family Medicine | 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 | 2015-04-23 |
| 1366871089 | Stephanie Lopez | Family Medicine | 11333 N. Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2013-11-04 |
| 1750309746 | Christopher Asley Hougen | Family Medicine | 11211 Sepulved Blvd, Mission Hills, CA 91345-1115 | 2006-07-17 |
| 1548793524 | Mary R Kombazdjian | Family Medicine | 11333 N Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-04-06 |
| 1922462084 | Halcyona Sorceress | Family Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2016-04-05 |
| 1366804965 | Rohan V Patel | Family Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2016-03-23 |
| 1821455452 | Edmond Petrossian | Family Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2016-01-27 |
| 1093101065 | Archana Kulai | Family Medicine | 11600 Indian Hills Rd, Mission Hills, CA 91345 | 2015-04-07 |
| 1407268626 | Elham Siman | Family Medicine | 11333 N Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2014-05-22 |
| Find all providers in MISSION HILLS | ||||
| City | MISSION HILLS |
| Zip Code | 91345 |
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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.