Elissa Sullivan, MD
Student in an Organized Health Care Education/Training Program · San Ysidro, CA
Elissa Sullivan, MD is a student in an organized health care education/training program with a practice address in San Ysidro, California, and NPI 1790216422, issued on Mar 24, 2017. Check the license (California 169577, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Elissa Sullivan
- Credential
- MD
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program 390200000X
- License number
- 169577 CA
Self-reported in NPPES; status is on the state search - Practice location
- 4050 Beyer Blvd, San Ysidro, CA 92173
- Phone
- (619) 662-4100
- Enumerated
- Mar 24, 2017
- Entity
- Type 1 · individual
Also registered at 4050 Beyer Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kelley Butler, MD, MPHGeriatric Medicine (Internal Medicine) Physician1316527286
- Andres Gomez Garza, MDPediatrics Physician1609225853
- Jonathan Mills, DDSStudent in an Organized Health Care Education/Training Program1447993266
- Chanmee Seo, MDStudent in an Organized Health Care Education/Training Program1336717206
Verify Elissa Sullivan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 169577Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
11 student in an organized health care education/training program records list a San Ysidro practice address
They are 11 of the 218 NPPES records with a San Ysidro practice address, and 49,599 student in an organized health care education/training program records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 11 in San Ysidro → All 49,599 in California → Every provider in San Ysidro →
Other student in an organized health care education/training program records in California
- Sanad A'BasiFresno, CA1720915770
- Alexander Aabedi, MDSan Francisco, CA1245971480
- Andre AabediPomona, CA1891582102
- Natalie Aabodi, DMDPomona, CA1851085187
- Mati Aamed, PSY.D.Pacoima, CA1689285470
- Kjeld Aamodt, DDS, MSSan Francisco, CA1912250176
- Megan Aaronson, MD, MSCRLos Angeles, CA1386272102
- Manas AavulaPomona, CA1972496644
- Louisa AbadaOakland, CA1023502259
- Sharon AbadaSan Francisco, CA1003492844
Common questions
What is Elissa Sullivan, MD's NPI number?
Elissa Sullivan, MD's National Provider Identifier (NPI) is 1790216422, issued on Mar 24, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Elissa Sullivan, MD located?
The NPPES record lists a practice address at 4050 Beyer Blvd, San Ysidro, CA, 92173. Phone: (619) 662-4100. Providers update this record themselves, so call before visiting.
How can I verify Elissa Sullivan, MD's license?
NPPES lists California license number 169577, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.