Elissa Sullivan, MD
NPI 1790216422 · Pediatrics Physician · San Ysidro, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elissa Sullivan, MD is a Pediatrics Physician provider in San Ysidro, CA (NPI 1790216422).
Provider details
- NPI number
- 1790216422
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 13001 E 17th PlAurora, CO 80045-2570Phone: (720) 777-6738
Registry dates
- Enumerated
- 2017-03-24
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Frequently asked questions
- What is Elissa Sullivan's NPI number?
- Elissa Sullivan's National Provider Identifier (NPI) is 1790216422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elissa Sullivan's specialty?
- Elissa Sullivan is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Elissa Sullivan located?
- Elissa Sullivan's practice location on file with NPPES is 4050 Beyer Blvd, San Ysidro, CA 92173-2007.
- What is Elissa Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Elissa Sullivan is (619) 662-4100.
- Does Elissa Sullivan accept Medicare?
- Elissa Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elissa Sullivan's NPI active?
- Yes — Elissa Sullivan's NPI (1790216422) is active in the NPPES registry as of the last update on 2020-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.