SULLIVAN MEDICAL CORPORATION – NPI #1790881092
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

SULLIVAN MEDICAL CORPORATION is a provider located in UPLAND, CA. NPPES has assigned the NPI number 1790881092 to SULLIVAN MEDICAL CORPORATION on September 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SULLIVAN MEDICAL CORPORATION below.

NPI Profile for
SULLIVAN MEDICAL CORPORATION

NPI Number
1790881092
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SULLIVAN MEDICAL CORPORATION
Primary location
1175 E ARROW HIGHWAY SUITE B
UPLAND, CA 91786
Phone: (909) 985-1891 Fax: (909) 985-0121
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN SULLIVAN
VICE-PRESIDENT
Phone: (909) 985-1891
Updated
Identifiers

Identifiers for SULLIVAN MEDICAL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A199910
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.