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MR. JOHN EDWIN SULLIVAN III
NPI 1063636819
Rehabilitation Practitioner in San Francisco, CA

Active since April 12, 2007
1801 VICENTE ST, SAN FRANCISCO, CA 94116(916) 613-1246 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, May 22, 2023 (2 updates tracked since 2023).

About Mr. John Edwin Sullivan Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN EDWIN SULLIVAN III (NPI 1063636819) is an individual rehabilitation practitioner in San Francisco, California and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1063636819
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMR. JOHN EDWIN SULLIVAN III
Location Address1801 VICENTE STSan Francisco, CA 94116-2923
Mailing Address1801 Vicente StSan Francisco, CA 94116-2923 · (916) 613-1246
Phone(916) 613-1246
Sole ProprietorNo
Enumeration DateApril 12, 2007
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1063636819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1801 VICENTE ST, San Francisco, CA 94116
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTAL PABROS AOAY
Counselor
1801 VICENTE ST
SAN FRANCISCO, CA 94116
San Francisco County (415) 681-3211
MS. HOMAIRA ALAM
Counselor
1801 VICENTE ST
SAN FRANCISCO, CA 94116
San Francisco County (415) 682-3278
MS. F. ANTOINETTE LITTLE BA
Counselor
1801 VICENTE ST
SAN FRANCISCO, CA 94116
San Francisco County (415) 681-3211
MS. MICHAELA JANE JOHANSEN
Counselor
1801 VICENTE ST
SAN FRANCISCO, CA 94116
San Francisco County (415) 681-3211
MR. MAURICE LYDELL GREEN SR.
Counselor
1801 VICENTE ST
SAN FRANCISCO, CA 94116
San Francisco County (415) 681-3211
ALETA PLUMMER
Counselor
1801 VICENTE ST
SAN FRANCISCO, CA 94116
San Francisco County (415) 681-3211
MR. EMMANUEL CARRIE MA
Counselor
1801 VICENTE ST
SAN FRANCISCO, CA 94116
San Francisco County (415) 681-3211
MR. CULLEN SAMUEL RUIZ
Counselor
1801 VICENTE ST
SAN FRANCISCO, CA 94116
San Francisco County (415) 681-3211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Sullivan's NPI number?

The NPI number for John Sullivan is 1063636819. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is John Sullivan located?

John Sullivan practices at 1801 Vicente St, San Francisco, CA 94116. The listed phone number is (916) 613-1246.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.