Individual provider Active NPI

Erin Mary Sullivan, MD

  • Emergency Medicine Physician
  • Salinas, CA
National Provider Identifier
1689917346
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A133621 Issued in CA
Practice address
450 E Romie LN
Salinas, CA 93901-4029
Phone
(831) 759-3085
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A133621 CA Primary

Addresses

Primary practice location

450 E Romie LN
Salinas, CA 93901-4029

Mailing address

450 E Romie LN
Salinas, CA 93901-4029
Phone (831) 759-3085

Other practice location 1

505 Parnasuss Ave Box 0203 Rm M-24
San Francisco, CA 94143-0203
Phone (415) 353-1529

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170227001697 CA Practitioner - Emergency Medicine 4587956313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, San Francisco School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monterey Bay Observation MedicineGroup PAC ID 1052630514, 32 clinicians

Practice addresses (Care Compare)

23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 625-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.55 of 100Reported as individual
Quality
97.98
Improvement activities
0
Cost
82.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
133621CAMDMarriage & Family Therapist
A133621CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Nov 7, 2018 Accepting new patients
Monterey Bay Observation Medicine Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Nov 7, 2018 Accepting new patients
Salinas Valley Emergency Medical Group, Inc Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689917346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014029",
            "telephone_number": "831-759-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014029",
            "telephone_number": "831-759-3085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Parnasuss Ave Box 0203 Rm M-24",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941430203",
            "country_code": "US",
            "telephone_number": "415-353-1529",
            "fax_number": "415-353-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ERIN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A133621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.