Individual provider Active NPI

Christina Theodorou, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Sacramento, CA
National Provider Identifier
1437548393
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2315 Stockton Blvd
Room Op 512
Sacramento, CA 95817-2201
Phone
(916) 734-2724
NPI assigned
Jan 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2315 Stockton Blvd
Room Op 512
Sacramento, CA 95817-2201

Mailing address

2315 Stockton Blvd
Room Op 512
Sacramento, CA 95817-2201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251016000165 NY Practitioner - General Surgery 4284121989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1275 Broadway
Mc105
Menands, NY 12204-2638

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Sep 17, 2025 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Sep 17, 2025 Accepting new patients
Albany Medical Center Hospital Past Accepting new patients
Albany Medical College Past Accepting new patients

Locations

50 New Scotland Ave
#194
Albany, NY 12208

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

3 Crossing Blvd
Ste 2
Clifton Park, NY 12065
Phone (518) 264-3600

453 Route 146
Ste 204
Halfmoon, NY 12065
Phone (518) 264-1900

117 Marys Ave
Ste 202
Kingston, NY 12401
Phone (845) 338-1717

1561 Ulster Ave
Lake Katrine, NY 12449
Phone (518) 339-6755

Interoperability endpoints

  • Direct secure messaging: ctheodorou376738@hisp.ehr.sutterhealth.org
  • Direct secure messaging: ctheodorou172075@direct.renown.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1437548393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "ROOM OP 512",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "ROOM OP 512",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOROU",
        "first_name": "CHRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.