CASSIDY BENNETT SULLIVAN (NPI# 1821483900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821483900 |
| Entity Type | Individual |
| Full Name | CASSIDY BENNETT SULLIVAN |
| Credential | M.D. |
| Practice Address |
3711 Long Beach Blvd Ste 700 Long Beach CA 90807-3353 |
| Practice Telephone | 5624248422 |
| Mailing Telephone | 5624248422 |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A163333 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013356724 | Cassidy E Sullivan | Speech-Language Pathologist | 31741 Rancho Viejo Rd, San Juan Capistrano, CA 92675-6722 | 2013-06-17 |
| Street Address |
3711 LONG BEACH BLVD STE 700 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790773943 | Kimberly R Mckanders | Obstetrics & Gynecology | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807-3353 | 2005-10-12 |
| 1245863190 | Wce Ca Ecc, Inc. | Clinic/Center | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807-3353 | 2020-02-19 |
| 1992186670 | Christine Feigal | Obstetrics & Gynecology | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807-3353 | 2015-06-17 |
| 1497132989 | Elise Vo | Obstetrics & Gynecology | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807-3353 | 2015-05-04 |
| 1750793717 | Mailinh Vu | Obstetrics & Gynecology | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807 | 2014-05-27 |
| 1679905822 | Kimberly Dawn Kasperek | Physician Assistant | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807-3353 | 2013-07-30 |
| 1376989392 | Kara Lauren Barnes | Obstetrics & Gynecology | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807-3353 | 2013-05-16 |
| 1255629440 | Helen Yang | Obstetrics & Gynecology | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807-3353 | 2011-07-21 |
| 1760774004 | Alessandra Ferreira Kostolias | Obstetrics & Gynecology | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807-3353 | 2011-05-04 |
| 1629289665 | Antoaneta Mueller | Obstetrics & Gynecology | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083856975 | Laura Sech Mccracken | Obstetrics & Gynecology | 1347 Park Ave, Long Beach, CA 90804-3127 | 2009-03-24 |
| 1508049834 | Kenneth Nmn Farhang | Obstetrics & Gynecology | 831 Hillside Dr., Long Beach, CA 90815-4716 | 2007-12-10 |
| 1508045956 | Carsten S. Ronlov, M.d. Inc. | Obstetrics & Gynecology | 3325 Palo Verde Ave Ste 202, Long Beach, CA 90808-4132 | 2007-11-01 |
| 1942342001 | Stanley Spencer Olenick | Obstetrics & Gynecology | 790 East Willow St, Suite 100, Long Beach, CA 90806-2703 | 2007-02-13 |
| 1306985445 | Essam Taymour | Obstetrics & Gynecology | 3550 Linden Ave Ste 1, Long Beach, CA 90807-4577 | 2007-02-05 |
| 1528104437 | Clifford A Hancock | Obstetrics & Gynecology | 2790 Atlantic Ave, Long Beach, CA 90806-2755 | 2007-01-29 |
| 1467544734 | Ruben Marmet | Obstetrics & Gynecology | 2777 Long Beach Blvd Ste 200, Long Beach, CA 90806-1513 | 2006-09-28 |
| 1568553188 | Soon Sohn | Obstetrics & Gynecology | 3050 E Airport Way, Long Beach, CA 90806-2404 | 2006-09-27 |
| 1376640086 | Magella Medical Group, Inc. | Obstetrics & Gynecology | 2888 Long Beach Blvd Ste 400, Long Beach, CA 90806-1553 | 2006-09-17 |
| 1780793604 | Neeraj Goswamy | Obstetrics & Gynecology | 111 Mitchell Ave, Long Beach, NY 11561-3819 | 2006-08-30 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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| 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.