MS. ANDREA MARY SULLIVAN D.C., CCSP
NPI 1508946484
Chiropractor in Oakland, CA

Active since October 16, 2006
2100 LAKESHORE AVE STE E, OAKLAND, CA 94606(510) 893-1577(510) 893-8907 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Andrea Mary Sullivan D.c., Ccsp NPPES

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

MS. ANDREA MARY SULLIVAN D.C., CCSP (NPI 1508946484) is an individual chiropractor in Oakland, California, licensed in California (20808) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1508946484
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMS. ANDREA MARY SULLIVANCredential: D.C., CCSP
Location Address2100 LAKESHORE AVE STE EOakland, CA 94606-1188
Mailing Address2100 Lakeshore Ave Ste EOakland, CA 94606-1188 · (510) 893-1577 · Fax (510) 893-8907
Fax(510) 893-8907
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1508946484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · 20808
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2100 LAKESHORE AVE STE E, Oakland, CA 94606

Other Identifiers 2

Medicare UPINU17167CA
Medicare ID-Type UnspecifiedDC0208080CA

Other Providers at the Same Location NPPES 2

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

Acupuncturist
2100 LAKESHORE AVE STE E
OAKLAND, CA 94606
Chiropractor
2100 LAKESHORE AVE STE E
OAKLAND, CA 94606

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 Andrea Sullivan's NPI number?

The NPI number for Andrea Sullivan is 1508946484. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Andrea Sullivan located?

Andrea Sullivan practices at 2100 Lakeshore Ave Ste E, Oakland, CA 94606. The listed phone number is (510) 893-1577.

What is Andrea Sullivan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Andrea Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.