Andrea N Sullivan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A73842 Issued in CA

Practice address

3535 Garrett Dr
Santa Clara, CA 95054-2811

Phone

(408) 986-7777

Fax

(408) 297-6509

NPI assigned

Apr 12, 2006

Last updated

Jun 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: andrea.sullivan.1@14789.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1265496905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 GARRETT DR",
            "address_2": "CROSSOVER HEALTH MEDICAL GROUP",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542811",
            "telephone_number": "408-986-7777",
            "fax_number": "408-297-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 GARRETT DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542811",
            "telephone_number": "408-986-7777",
            "fax_number": "408-297-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANDREA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC",
            "identifier": "MMM00087M",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sudha Sudesh, MD
• Grace Catherine Suggs, DPT, ATC
• Amily Suh, DPT
• Eun Young Suh
• Parvin Suliamani
• Hannah Rose Sullivan
• John Peter Sullivan, PSY.D.
• Kerry M. Sullivan, MD
• Sammir Michael Sullivan, MD
• Suman Ramakumar DDS Inc (Northern Dental)

• Internal Medicine Physician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.