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PATRICK G SULLIVAN MD
NPI 1750449955
Anesthesiology in La Mesa, CA

Active since December 04, 2006PECOS Enrolled
5555 GROSSMONT CENTER DR, LA MESA, CA 91942(619) 460-5111(619) 460-7815 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patrick G Sullivan Md NPPES

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

PATRICK G SULLIVAN MD (NPI 1750449955) is an individual anesthesiology provider in La Mesa, California, licensed in California (G74231) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750449955
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NamePATRICK G SULLIVANCredential: MD
Location Address5555 GROSSMONT CENTER DRLa Mesa, CA 91942
Mailing AddressPo Box 3617La Mesa, CA 91944-3617 · (619) 460-5111 · Fax (619) 460-7815
Phone(619) 460-5111
Fax(619) 460-7815
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateApril 7, 2015
✔ NPI 1750449955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · G74231
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
5555 GROSSMONT CENTER DR, La Mesa, CA 91942
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Other Identifiers 2

Medicaid00G742310CA
Medicare UPINF74270

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick G Sullivan Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Patrick Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premiercare Anesthesia Fountain Valley Inc
84 mi
Anesthesiology
17100 EUCLID ST.
Fountain Valley, CA 97208
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1831536531 (714) 966-7200
Orange Coast Anesthesia Inc
84 mi
Anesthesiology
2601 E CHAPMAN AVE
Orange, CA 92869
  • Reassigned Medicare billing, California enrollment
  • 168 clinicians in this Medicare group
NPI 1508138256 (714) 633-0011

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.

ALHELI BAILY
Registered Nurse
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
MISS APRIL JULIA CROMIE PMHNP-BC, APRN, MSN
Nurse Practitioner (Psychiatric/Mental Health)
5555 GROSSMONT CENTER DR, 5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (858) 296-6182
TEAGAN SHEA COLEMAN
Registered Nurse (Emergency)
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
BRENDAN J LEE DO
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 644-4401
PAUL Y ABOU MD
Internal Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 465-0711
MRS. AMY ELIZABETH VU P.A.-C
Physician Assistant
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
CHRISTA ANN LANDOWSKA AREFIEVA MD
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
TYLER QUOC NGUYEN
Pharmacist
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000

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 Patrick Sullivan's NPI number?

The NPI number for Patrick Sullivan is 1750449955. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Patrick Sullivan located?

Patrick Sullivan practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 460-5111.

What is Patrick Sullivan's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Patrick Sullivan enrolled in Medicare?

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

Which organizations bill Medicare for Patrick Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Sullivan reassigns Medicare benefits to 2 organizations: Premiercare Anesthesia Fountain Valley Inc (Fountain Valley, CA) and Orange Coast Anesthesia Inc (Orange, CA). Each 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 Patrick 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 Patrick Sullivan was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.