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MRS. CLARE ELIZABETH SULLIVAN PT, NCS
NPI 1174727788
Physical Therapist - Orthopedic in San Marcos, CA

Active since June 14, 2007Accepts Medicare Assignment
400 CRAVEN RD, SAN MARCOS, CA 92078(760) 510-5656 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Clare Elizabeth Sullivan Pt, Ncs NPPES

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

MRS. CLARE ELIZABETH SULLIVAN PT, NCS (NPI 1174727788) is an individual orthopedic provider in San Marcos, California, licensed in California (23052) and active in the NPI registry since June 2007. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1174727788
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameMRS. CLARE ELIZABETH SULLIVANCredential: PT, NCS
Location Address400 CRAVEN RDSan Marcos, CA 92078-4201
Mailing Address45262 Willowick StTemecula, CA 92592-1368 · (951) 326-7051
Phone(760) 510-5656
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 14, 2007
Last NPPES UpdateDecember 2, 2021
✔ NPI 1174727788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 23052
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
400 CRAVEN RD, San Marcos, CA 92078
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Clare Elizabeth Sullivan Pt, Ncs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668652660
PECOS Enrollment IDI20110208000910

Medicare Billing Reassignment

Medicare enrollment records show Clare Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
24 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. LAURIE JUNE STEINECKE PT
Physical Therapist (Orthopedic)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-5662
MASSUD R WEISS
Family Medicine
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (833) 574-2273
SZE HOAY DING M.D.
Internal Medicine
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (619) 318-7476
MS. JENNIFER ALEXANDER RCP, RRT
Respiratory Therapist, Certified (Pulmonary Function Technologist)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-5457
LORRAINE VIVIENNE LEVY PT
Physical Therapist (Orthopedic)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-5656
NICOLETTE E. DOME-YUTSUS AU.D.
Audiologist
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (858) 616-5115
DR. ROSE RIDINGS FEAVER PHARM.D.
Pharmacist
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-4077
DR. MICHAEL JOSEPH CRAWFORD D.P.M
Podiatrist (Foot & Ankle Surgery)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (626) 818-0967

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 Clare Sullivan's NPI number?

The NPI number for Clare Sullivan is 1174727788. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Clare Sullivan located?

Clare Sullivan practices at 400 Craven Rd, San Marcos, CA 92078. The listed phone number is (760) 510-5656.

What is Clare Sullivan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Clare Sullivan enrolled in Medicare?

Yes. Clare Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Clare Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clare Sullivan reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clare Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clare Sullivan was last updated on December 2, 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.