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SULLIVAN MEDICAL CORPORATION
NPI 1790881092
Family Medicine in Upland, CA

Active since September 15, 2006
1175 E ARROW HIGHWAY SUITE B, UPLAND, CA 91786(909) 985-1891(909) 985-0121 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sullivan Medical Corporation NPPES

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

SULLIVAN MEDICAL CORPORATION (NPI 1790881092) is a healthcare organization registered as a family medicine in Upland, California and active in the NPI registry since September 2006. The organization lists John W Sullivan, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1790881092
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSULLIVAN MEDICAL CORPORATION
Location Address1175 E ARROW HIGHWAY SUITE BUpland, CA 91786
Mailing Address1175 E Arrow Highway Suite BUpland, CA 91786 · (909) 985-1891 · Fax (909) 985-0121
Phone(909) 985-1891
Fax(909) 985-0121
Organization SubpartNo
Authorized OfficialJohn W SullivanVice-president · (909) 985-1891
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790881092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1175 E ARROW HIGHWAY SUITE B, Upland, CA 91786
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Other Identifiers 1

Medicaid00A199910CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Sullivan Medical Corporation's NPI number?

The NPI number for Sullivan Medical Corporation is 1790881092. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Sullivan Medical Corporation located?

Sullivan Medical Corporation is located at 1175 E Arrow Highway Suite B, Upland, CA 91786. The listed phone number is (909) 985-1891.

What is Sullivan Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sullivan Medical Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.