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

Teodoro P. Nissen MD, Inc

Organization Specialist · NPI 1629248109

Teodoro P. Nissen MD, Inc provides Specialist services 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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