RICHARD R. SULLIVAN MD – NPI #1386621779
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

RICHARD SULLIVAN is a radiologist located in TORRANCE, CA. NPPES has assigned the NPI number 1386621779 to RICHARD SULLIVAN on December 27, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 13 years ago on Apr 25, 2013. 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 RICHARD SULLIVAN below.

NPI Profile for
RICHARD R. SULLIVAN

NPI Number
1386621779
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RICHARD R. SULLIVAN
Credentials
MD
Primary location
4101 TORRANCE BLVD
TORRANCE, CA 90503
Phone: (310) 303-5750 Fax:
Mailing address
DEPT LA 21552
PASADENA, CA 91185-1552
Phone: (949) 263-8600 Fax: (562) 590-7452
Sole Proprietor
No
Updated
Identifiers

Identifiers for RICHARD SULLIVAN

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
OTHERBLUE SHIELDCA00G579360
MEDICAIDCA00G579360
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
CA G57936
2085R0204X
- Radiology / Vascular & Interventional Radiology
CA G57936

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.

Additional Information

Education
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE - Graduated 1985
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RICHARD SULLIVAN is affiliated with the following medical group(s):
  • HOSPITAL
    • PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO
      1300 W 7TH ST
      SAN PEDRO, CA 90732
    • PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE
      4101 TORRANCE BLVD
      TORRANCE, CA 90503

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