DR. LESLIE A SULLIVAN M.D.
NPI 1265458467
Surgery in San Jose, CA

Active since July 14, 2006
2040 FOREST AVE, SUITE 2, SAN JOSE, CA 95128(408) 732-1957(408) 298-9838 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Leslie A Sullivan M.d. NPPES

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

DR. LESLIE A SULLIVAN M.D. (NPI 1265458467) is an individual surgery provider in San Jose, California, licensed in California (G69219) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1265458467
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. LESLIE A SULLIVANCredential: M.D.
Location Address2040 FOREST AVE, SUITE 2San Jose, CA 95128-4810
Mailing Address10460 Madera DrCupertino, CA 95014-1134 · (408) 356-0683 · Fax (408) 298-9838
Fax(408) 298-9838
Sole ProprietorYes
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 2, 2007
NPI 1265458467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · G69219
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2040 FOREST AVE, San Jose, CA 95128

Other Identifiers 3

Medicare PIN00G692191CA
Medicaid00G692190CA
Medicare UPINF67980CA

Other Providers at the Same Location NPPES 7

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

Podiatrist (Foot Surgery)
2040 FOREST AVE, SUITE 7
SAN JOSE, CA 95128
Podiatrist
2040 FOREST AVE, #7
SAN JOSE, CA 95128
Family Medicine
2040 FOREST AVE, STE 1A
SAN JOSE, CA 95128
Psychiatry & Neurology (Neurology)
2040 FOREST AVE, #4
SAN JOSE, CA 95128
Acupuncturist
2040 FOREST AVE, SUITE 8
SAN JOSE, CA 95128
Psychiatry & Neurology (Neurology)
2040 FOREST AVE, #4
SAN JOSE, CA 95128
Family Medicine
2040 FOREST AVE, SUITE 1A
SAN JOSE, CA 95128

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 Leslie Sullivan's NPI number?

The NPI number for Leslie Sullivan is 1265458467. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Leslie Sullivan located?

Leslie Sullivan practices at 2040 Forest Ave Suite 2, San Jose, CA 95128. The listed phone number is (408) 732-1957.

What is Leslie Sullivan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Leslie Sullivan was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.