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MS. ANDREA MARY SULLIVAN D.C. CCSP NPI 1508946484


NPI Information

NPI: 1508946484
Provider Name: MS. ANDREA MARY SULLIVAN, D.C., CCSP
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2100 LAKESHORE AVE STE E
OAKLAND, CA
ZIP 94606
Phone: (510) 893-1577
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MS. Andrea Mary Sullivan, D.C., CCSP is a chiropractor in Oakland, CA with 34 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MS. Andrea Mary Sullivan, D.C., CCSP NPI is 1508946484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:1990

The provider's business location address is:

2100 LAKESHORE AVE STE E
OAKLAND, CA
ZIP 94606-188
Phone: (510) 893-1577
Fax: (510) 893-8907

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/8/2007.


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
1111N00000XChiropractor20808CALIFORNIAYes

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
1U17167MEDICARE UPINCALIFORNIA
2DC0208080MEDICARE 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: 11/14/2023

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.