Neil Patrick Sullivan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C39620 Issued in CA

Practice address

915 N Milpas St
Santa Barbara, CA 93103-2331

Phone

(805) 963-1641

NPI assigned

Jan 29, 2007

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Napa, CA
  • NPI 1700976503
  Medicare reassignment NPD
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
  • NPI 1245043165
  NPD
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Calistoga, CA
  • NPI 1760660831
  NPD
• Community Memorial Health System

  dba Community Memorial Hospital - Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  NPD (past)
• Goleta Neighborhood Dental Clinic

  • Dental Clinic/Center
  • Goleta, CA
  • NPI 1144636291
  NPD (past)
• Molokai Ohana Health Care, Inc.

  dba Molokai Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Kaunakakai, HI
  • NPI 1336805621
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1649316332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STATE ST",
            "address_2": "SUITE G",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012429",
            "telephone_number": "805-617-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N MILPAS ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032331",
            "telephone_number": "805-963-1641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 Pear Tree Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945586485",
            "country_code": "US",
            "telephone_number": "707-254-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "NEIL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-21441",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C39620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C396200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "C39620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura B Sugino, MD
• Wonsuk Warren Suh, M.D., M.P.H.
• Lee Sulka, P.T.
• Brian Ray Sullivan, PA-C
• Kelli Ann Sullivan, MFT
• Raymond David Sullivan, PSYD
• Liliane Samy Daoud Sultan
• Summit Ventures of Santa Barbara, LP (Summit Surgery Center)
• Robert Francis Sumner, LVN
• Justin Bengt Sundgot-Smith

• Family Medicine Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.