ROBERT E. SULLIVAN, MD (NPI# 1417369943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417369943 |
| Entity Type | Organization |
| Organization Name | ROBERT E. SULLIVAN, MD |
| Practice Address |
4441 Auburn Blvd Suite P Sacramento CA 95841-4139 |
| Practice Telephone | 9164573324 |
| Practice Fax Number | 9169789830 |
| Mailing Telephone | 9164573324 |
| Mailing Fax Number | 9169789830 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | DR. ROBERT EUGENE SULLIVAN (SOLE OWNER) |
| Authorized Official Telephone | 9169789777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
G31309 | CA | Ambulatory Health Care Facilities |
| Street Address |
4441 AUBURN BLVD SUITE P |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95841-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033295084 | Wellspace Health | Community/Behavioral Health | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841-4139 | 2006-10-31 |
| 1316570153 | Stefany Camille Taylor | Counselor | 4441 Auburn Blvd, Sacramento, CA 95841-4139 | 2020-02-20 |
| 1285277442 | Branda Jolisa Correa | Counselor | 4441 Auburn Blvd, Sacramento, CA 95841-4139 | 2019-10-21 |
| 1538710017 | Philip Brett Robinson | Counselor | 4441 Auburn Blvd, Sacramento, CA 95841-4139 | 2019-09-25 |
| 1922575430 | Morgan H Schambers | Counselor | 4441 Auburn Blvd, Sacramento, CA 95841-4139 | 2018-11-01 |
| 1194209486 | Candy Janae Wilson | Counselor | 4441 Auburn Blvd, Sacramento, CA 95841-4139 | 2018-09-21 |
| 1902333768 | Dawnyell Aught | Counselor | 4441 Auburn Blvd, Sacramento, CA 95841-4139 | 2017-05-11 |
| 1902331481 | Madeline Anderson | Counselor | 4441 Auburn Blvd, Sacramento, CA 95841-4139 | 2017-04-21 |
| 1770016172 | Trina Health of Northern California PC | Specialist | 4441 Auburn Blvd, Suite J, Sacramento, CA 95841-4139 | 2017-04-04 |
| 1912442922 | Bianca Miramontez | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841-4139 | 2016-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794359 | Paris D Oceguera Torres | Behavior Technician | 5000 Auburn Blvd, Sacramento Maxim Healthcare, CA 95841 | 2018-06-19 |
| 1386196228 | Always Connected Incorporated | Community/Behavioral Health | 4738 Auburn Boulevard Suite 100, Sacramento, CA 95841 | 2016-10-26 |
| 1538619077 | Hashim Alhaidari | Pharmacist | 5002 Greenberry Drive, Sacramento, CA 95841 | 2016-10-08 |
| 1346588480 | Ucp of Sacramento and Northern California | Community/Behavioral Health | 4350 Auburn Blvd., Sacramento, CA 95841 | 2013-01-24 |
| 1962778639 | Mandi Elizabeth Mcbride | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2012-03-28 |
| 1144595976 | Jesse John Echavarria | Counselor | 4441auburn Bvld, Suite E, Sacramento, CA 95841 | 2012-03-13 |
| 1780994269 | Jessica Hernandez | Behavioral Analyst | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2010-10-18 |
| 1386958262 | Altha Marie Gray-wilson | Counselor | 4141 Auburn Blvd, Sacramento, CA 95841 | 2010-08-03 |
| 1780900795 | Cynthia Jeanette Keeth | Counselor | 4441 Auburn Blvd., Suite E, Sacramento, CA 95841 | 2010-04-15 |
| 1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
| Find all providers in zip 95841 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396444 | J.a. Ferranti, Md Psychiatric Services | Clinic/Center | 300 University Ave Ste 240, Sacramento, CA 95825-6518 | 2019-10-01 |
| 1629426101 | Michael W. Chu, Md, Inc. | Clinic/Center | 2901 K St Ste 209, Sacramento, CA 95816-5124 | 2016-05-25 |
| 1376767665 | University of California Davis Medical Center | Clinic/Center | 2521 Stockton Blvd Ste 3110, Sacramento, CA 95817-2207 | 2007-04-11 |
| 1053379057 | Capitol Urology Medical Group Inc | Clinic/Center | 3939 J Street, Suite 250, Sacramento, CA 95819 | 2006-05-02 |
| 1306489687 | James Longoria Md Inc | Clinic/Center | 2800 L St Ste 200, Sacramento, CA 95816-5616 | 2019-10-19 |
| 1417456831 | Kia Yang | Clinic/Center | 225 30th St Ste 311, Sacramento, CA 95816-3359 | 2018-02-12 |
| 1912300278 | Jrs Medical Consulting, Inc. | Clinic/Center | 4354 Auburn Blvd, Sacramento, CA 95841-4107 | 2014-10-01 |
| 1912312448 | Jeffrey L. Young, Md, Inc | Clinic/Center | 5525 Assembly Ct, Ste A, Sacramento, CA 95823-2634 | 2014-06-23 |
| 1982958351 | Sacramento Pediatric Gastroenterology,inc. | Clinic/Center | 5767 Greenback Ln, Suite 200, Sacramento, CA 95841-2013 | 2012-11-06 |
| 1134490493 | Med 9 Clinic | Clinic/Center | 1936 Stockton Blvd, Sacramento, CA 95816-6638 | 2012-01-18 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95841 |
Please comment or provide details below to improve the information on ROBERT E. SULLIVAN, MD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.