Individual provider Active NPI

Joseph Michael Centeno, MD

  • Surgery Physician
  • Napa, CA
National Provider Identifier
1124086137
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A77447 Issued in CA
Practice address
499 Devlin Rd
Napa, CA 94558-6274
Phone
(707) 645-7210
Fax
(707) 645-7249
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A77447 CA Primary

Addresses

Primary practice location

499 Devlin Rd
Napa, CA 94558-6274

Mailing address

499 Devlin Rd
Napa, CA 94558-6274
Phone (707) 645-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070531000144 CA Practitioner - Orthopedic Surgery 8820027071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Geffen School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Teodoro P Nissen MD IncGroup PAC ID 5193897817, 2 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Suite 303
Vallejo, CA 94589-2583
Phone (707) 645-7210

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Concord, CA, CCN 057004
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Teodoro P. Nissen M.D., Inc CurrentSince May 14, 2013 Accepting new patients
Ambulatory Surgery Associates LLC Past Accepting new patients

Locations

5789 State Farm Dr
Ste 195
Rohnert Park, CA 94928
Phone (707) 645-7210

1460 N Camino Alto
Ste 201
Vallejo, CA 94589
Phone (707) 557-6002

100 Hospital Dr
Ste 303
Vallejo, CA 94589
Phone (707) 254-7117

909 W Euclid Ave
Unit 843
Arlington Heights, IL 60006

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1124086137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 DEVLIN RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586274",
            "telephone_number": "707-645-7210",
            "fax_number": "707-645-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 DEVLIN RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586274",
            "telephone_number": "707-645-7210",
            "fax_number": "707-645-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A77447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.