Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tim Sullivan, MD

Individual provider Pediatrics Physician · NPI 1750481099

Tim Sullivan, MD is a Pediatrics Physician in Sonora, California. Practices as a sole proprietor. Licensed in California and Iowa.

Licensed in
CA, IA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12791 Cabezut Rd
Sonora, CA 95370-5926
Phone: (209) 532-5524
Fax: (209) 532-1513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence C55917 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 34411 (IA)

Record details

NPI number1750481099
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 29, 2019
Mailing address12791 Cabezut Rd, Sonora, CA 95370-5926

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