CHRISTINA SULLIVAN M.D.
NPI 1104231802
Pediatrics in Sonoma, CA

Active since June 23, 2014PECOS Enrolled
19270 SONOMA HWY 12, SONOMA, CA 95476(707) 939-6070 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2021, Nov 8, 2017 (2 updates tracked since 2017).

About Christina Sullivan M.d. NPPES

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

CHRISTINA SULLIVAN M.D. (NPI 1104231802) is an individual pediatrics provider in Sonoma, California, licensed in California (A141584) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104231802
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCHRISTINA SULLIVANCredential: M.D.
Location Address19270 SONOMA HWY 12Sonoma, CA 95476-5414
Mailing Address19270 Sonoma Hwy 12Sonoma, CA 95476
Sole ProprietorNo
Enumeration DateJune 23, 2014
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPI 1104231802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A141584
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
19270 SONOMA HWY 12, Sonoma, CA 95476

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Christina Sullivan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95476 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

General Practice
19270 SONOMA HWY 12
SONOMA, CA 95476

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 Christina Sullivan's NPI number?

The NPI number for Christina Sullivan is 1104231802. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Christina Sullivan located?

Christina Sullivan practices at 19270 Sonoma Hwy 12, Sonoma, CA 95476. The listed phone number is (707) 939-6070.

What is Christina Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Christina Sullivan enrolled in Medicare?

Yes. Christina Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christina Sullivan was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.