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DR. ANDREW SULLIVAN D.O.
NPI 1932470291
General Practice in Port Hueneme, CA

Active since January 19, 2012
162 1ST ST BLDG 1402, PORT HUENEME, CA 93043(936) 523-0454(805) 982-2071 Get Directions Write a Review

NPPES record last updated: April 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew Sullivan D.o. NPPES

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

DR. ANDREW SULLIVAN D.O. (NPI 1932470291) is an individual general practice provider in Port Hueneme, California, licensed in Virginia (0102203574) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1932470291
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ANDREW SULLIVANCredential: D.O.
Location Address162 1ST ST BLDG 1402Port Hueneme, CA 93043-4316
Mailing Address162 1st St Bldg 1402Port Hueneme, CA 93043-4316 · (936) 523-0454 · Fax (805) 982-2071
Phone(936) 523-0454
Fax(805) 982-2071
Sole ProprietorNo
Enumeration DateJanuary 19, 2012
Last NPPES UpdateApril 23, 2015
✔ NPI 1932470291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0102203574
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
162 1ST ST BLDG 1402, Port Hueneme, CA 93043
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Other Providers at the Same Location NPPES 9

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

ERIN MICHELLE ANDERSON
Physical Therapy Assistant
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6335
NAVAL HOSPITAL CAMP PENDLETON
Military/U.S. Coast Guard Pharmacy
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6411
MR. JAMES A KIRK MPT
Physical Therapist
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6335
DR. GYUTAE JIN DMD
Dentist (General Practice)
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6342
NICKOLAS VINCENT PONCE IDC
Military Health Care Provider (Independent Duty Corpsman)
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6320
DR. GEOFFREY SAMUEL JACOBY MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6356
JASON JUNG DO
General Practice
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6323
PATRICIA ROBERTS AU.D.
Audiologist
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-3779

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 Andrew Sullivan's NPI number?

The NPI number for Andrew Sullivan is 1932470291. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Andrew Sullivan located?

Andrew Sullivan practices at 162 1st St Bldg 1402, Port Hueneme, CA 93043. The listed phone number is (936) 523-0454.

What is Andrew Sullivan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Andrew Sullivan was last updated on April 23, 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.