Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Teodoro P. Nissen MD, Inc

Organization Specialist · NPI 1629248109

Teodoro P. Nissen MD, Inc is a Specialist in Vallejo, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1460 N Camino Alto Ste 201
Vallejo, CA 94589-2567
Phone: (707) 645-7210
Fax: (707) 645-7249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A77901 (CA)

Record details

NPI number1629248109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teodoro Nissen — Ceo · (707) 645-7210
Other names Bay Area Orthopedic Surgery And Sports Medicine; Bay Area Orthopedic Surgery And Sports Medicine
NPI enumeratedMarch 11, 2008
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address1460 N Camino Alto Ste 201, Vallejo, CA 94589-2567

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