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

Dr. Teodoro P Nissen, MD

Individual provider Orthopaedic Surgery Physician · NPI 1699791053

Dr. Teodoro P Nissen, MD is an Orthopedic Surgery in Vallejo, California. Graduated from University of California, San Francisco School of Medicine in 2000, 26 years ago. Practices with Teodoro P Nissen MD Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A77901 (CA)

Record details

NPI number1699791053
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Teodoro P Nissen Md Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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