Arno Eugene Sullivan, D,C,

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CA14509 Issued in CA

Practice address

20104 Hwy 88
Pine Grove, CA 95665

Phone

(209) 296-5755

Fax

(209) 296-4493

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497792535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "PINE GROVE",
            "state": "CA",
            "postal_code": "956650609",
            "telephone_number": "209-269-5755",
            "fax_number": "209-296-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20104 HWY 88",
            "city": "PINE GROVE",
            "state": "CA",
            "postal_code": "95665",
            "telephone_number": "209-296-5755",
            "fax_number": "209-296-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ARNO",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D,C,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA14509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armen R Kendig, DC
• Thanh Viet Nguyen, PHARM.D.
• Sharon Ann Sands, LCSW
• Silver Fiddle Therapy
• Tasvir K Singh, PHARMD, BCPS
• Sheldon Howard Suskauer, MD
• Towin Pharmacy Inc
• Macario Ruiz Vazquez, MD

• All providers in Pine Grove, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.