Mercedes Aguirre-Sullivan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63254 Issued in CA

Practice address

3800 Coolidge Ave
Oakland, CA 94602-3311

Phone

(510) 482-2244

Fax

(510) 530-2047

NPI assigned

Oct 23, 2014

Last updated

Oct 23, 2014By 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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1649675372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 BRANN ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946193312",
            "telephone_number": "510-482-2244",
            "fax_number": "510-530-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 COOLIDGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023311",
            "telephone_number": "510-482-2244",
            "fax_number": "510-530-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE-SULLIVAN",
        "first_name": "MERCEDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "63254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Deyanira Aguilar
• Nancy Aguilar, AMFT 145268
• Leticia Aguilera-Ledesma, MD
• Erika Aguillon Aviles
• Samantha Aguinaldo-Wetterholm, D.D.S.
• Priscilla Ellen Marie Aguirre, MA
• Nikki Agustin
• Phille Spartacus Reyes Agustin
• Nkemdi Edwin Agwaramgbo, MD
• Nakhter Ahad, CMT, LMFT

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.