ANDREW SULLIVAN D.O. – NPI #1932470291
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ANDREW SULLIVAN is a physician located in PORT HUENEME, CA. NPPES has assigned the NPI number 1932470291 to ANDREW SULLIVAN on January 19, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 11 years ago on Apr 23, 2015. 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 ANDREW SULLIVAN below.

NPI Profile for
ANDREW SULLIVAN

NPI Number
1932470291
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ANDREW SULLIVAN
Credentials
D.O.
Primary location
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043-4316
Phone: (936) 523-0454 Fax: (805) 982-2071
Mailing address
Same as primary location
Sole Proprietor
No
Updated
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
208D00000X
- General Practice (Primary)
VA 0102203574

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.