DR. KATHLEEN BEATRICE SULLIVAN (NPI# 1144244476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144244476 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN BEATRICE SULLIVAN |
| Credential | M.D. |
| Practice Address |
24451 Health Center Dr Laguna Hills CA 92653-3689 |
| Mailing Address |
Po Box 10429 Newport Beach CA 92658-0429 |
| Practice Telephone | 9498374500 |
| Practice Fax Number | 9498374621 |
| Mailing Telephone | 9494171812 |
| Mailing Fax Number | 9494171803 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | G49346 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G493460 | 05 | |
| CA | BLUE SHIELD ID # | 00G493460 | 01 |
| CA | CALOPTIMA ID # | 00G493460385 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265890909 | Kathleen Sullivan | Clinical Nurse Specialist | 2040 9th Ave, # C, Honolulu, HI 96816-2952 | 2016-02-09 |
| 1871907006 | Kathleen E Sullivan | Behavioral Analyst | 118 35th St, Bellingham, WA 98225-6053 | 2014-06-16 |
| 1285057687 | Kathleen Sullivan | Registered Nurse | 2380 Timbercrest Cir W, Clearwater, FL 33763-1624 | 2014-01-22 |
| 1538436555 | Kathleen Sullivan | Speech-Language Pathologist | 301 Charlotte Ave, Hamburg, NY 14075-3857 | 2011-11-18 |
| 1396023388 | Kathleen T Sullivan | Occupational Therapist | 6678 County Road 32, Norwich, NY 13815-3554 | 2011-07-26 |
| 1912204322 | Kathleen Ann Sullivan | Speech-Language Pathologist | 3043 State Route 48, Oswego, NY 13126-5733 | 2011-02-21 |
| 1790938694 | Kathleen Scarlett Sullivan | Marriage & Family Therapist | 3851 Rosecrans St Ste K-08, San Diego, CA 92110-3115 | 2008-10-23 |
| 1639320336 | Kathleen Connelly Sullivan | Physician Assistant | 2 Fogg Rd, Weymouth, MA 02190 | 2008-10-01 |
| 1306095955 | Kathleen M. Sullivan | Nurse Practitioner | 20511 Sunset Ln, Lago Vista, TX 78645-6245 | 2008-09-18 |
| 1356518492 | Kathleen C Sullivan | Licensed Practical Nurse | 340 Vincent St., Syracuse, NY 13210-3712 | 2008-05-08 |
| Street Address |
24451 HEALTH CENTER DR |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290228 | Monarch Health Care, A Medical Group, Inc. | General Acute Care Hospital | 24451 Health Center Dr, Saddleback Memorial Medical Center, Laguna Hills, CA 92653-3689 | 2005-07-27 |
| 1063076735 | Carmina Deleon Inductivo | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2019-04-27 |
| 1306313192 | Andrea Van Ry | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2018-10-30 |
| 1134600430 | Maria Heladia Hilton | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2018-08-24 |
| 1255856563 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2017-08-08 |
| 1881047124 | Stacy Clark | Marriage & Family Therapist | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-07-21 |
| 1275990244 | Jordana Jones | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-01-21 |
| 1568835411 | Karen E Forhane | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2015-11-01 |
| 1265848733 | Jessica Alva | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2014-07-06 |
| 1386984219 | Cheryl Beth Johnson | Physical Medicine & Rehabilitation | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2013-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346683489 | Crystal Emerald Tan | Anesthesiology | 24012 Calle De La Plata Ste 407, Laguna Hills, CA 92653-7625 | 2013-04-08 |
| 1538491980 | Shahriar Alikhani Md Inc | Anesthesiology | 23025 Mill Creek Drive, Laguna Hills, CA 92653 | 2010-02-10 |
| 1063506863 | Mehdat Elfaizy | Anesthesiology | 24022 Calle De La Plata Ste 180, Laguna Hills, CA 92653-3627 | 2006-10-03 |
| 1861446833 | Shahriar Alikhani | Anesthesiology | 23025 Mill Creek Dr, Laguna Hills, CA 92653-1257 | 2006-05-22 |
| 1487251542 | Andrew H Messiha Md | Anesthesiology | 23521 Paseo De Valencia Ste 204, Laguna Hills, CA 92653-3101 | 2020-10-02 |
| 1013398866 | Robert Kim | Anesthesiology | 24012 Calle De La Plata Ste 407, Laguna Hills, CA 92653-7625 | 2015-06-17 |
| 1316361538 | Sepehr Saber Tehrani | Anesthesiology | 24012 Calle De La Plata Ste 407, Laguna Hills, CA 92653-7625 | 2014-02-07 |
| 1083907372 | Laura Heejin Park | Anesthesiology | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2011-05-19 |
| 1457679946 | Tsz Chuen Chan | Anesthesiology | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2010-05-10 |
| 1811139637 | Bryan Jun Fong | Anesthesiology | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2009-03-25 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on DR. KATHLEEN BEATRICE SULLIVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.