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DR. KATHLEEN SULLIVAN M.D. NPI 1245236199


NPI Information

NPI: 1245236199
Provider Name: DR. KATHLEEN SULLIVAN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 05D1007814

Address:
194 COHASSET RD
CHICO, CA
ZIP 95926
Phone: (530) 893-2303
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DR. Kathleen Sullivan, M.D. is a pediatrics in Chico, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Kathleen Sullivan, M.D. NPI is 1245236199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

194 COHASSET RD
CHICO, CA
ZIP 95926-202
Phone: (530) 893-2303
Fax: (530) 893-3607

The CLIA number assigned to this NPI record is 05D1007814 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 4/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA62975CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A629750MEDICAIDCALIFORNIA
2G57798MEDICARE UPINCALIFORNIA
300A629750MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.