Doctor profile · Federal record
Dr. Tim Sullivan, MD
Pediatrics Physician · Pediatrics Physician · Sonora, CA
- NPI 1750481099
- 20 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
12791 Cabezut RD
Sonora, CA 953705926
(209) 532-5524
fax (209) 532-1513
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- July 29, 2019
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- California #C55917 · Iowa #34411
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1750481099. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$36
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medline Industries Lp | 1 | $35.62 |
By nature of payment
Frequently asked questions
What is Dr. Tim Sullivan's medical specialty?
Dr. Tim Sullivan practices Pediatrics Physician in Sonora, CA.
Where does Dr. Tim Sullivan practice?
Dr. Tim Sullivan practices at 12791 Cabezut RD, Sonora, CA 953705926. Office phone: 2095325524.
What is Dr. Tim Sullivan's NPI?
Dr. Tim Sullivan's National Provider Identifier (NPI) is 1750481099, issued by NPPES.