Amber Sullivan
Case Manager/Care Coordinator in Roseville, CA. Individual provider (NPI-1).
NPI number1164027884
StatusActive
Last updated in NPPESDec 15, 2020
Details
- NPI
- 1164027884
- Entity type
- Individual (NPI-1)
- Name
- Amber Sullivan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2020
- Certification date
- Dec 15, 2020
- Last updated
- Dec 15, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1624 Santa Clara DrRoseville, CA 95661-3554
Phone 916-705-9344
Mailing address
1624 Santa Clara DrRoseville, CA 95661-3554
Other practice locations
9343 Tech Center Dr
Sacramento, CA 95826-2563
Sacramento, CA 95826-2563
Phone 916-388-6352
2420 Martin Rd
Fairfield, CA 94534-8651
Fairfield, CA 94534-8651
Phone 916-388-6352
3951 Performance Dr
Sacramento, CA 95838-3264
Sacramento, CA 95838-3264
Phone 916-388-6352
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 55 Case Manager/Care Coordinator providers in Roseville · All 6,478 providers in Roseville
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