Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265458467 Individual Practitioner Female Practitioner

Dr. Leslie A Sullivan , MD

Surgery • San Jose, CA

Professional Overview & Biography Verified Profile Summary

Dr. Leslie Sullivan, MD is a registered healthcare professional specializing in Surgery in San Jose, CA. Practice services are available at 2040 FOREST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2040 Forest Ave
Suite 2

San Jose, CA 951284810

Telephone 4087321957
Fax 4082989838
Associated Practice Facility / Clinic
🏢 Evergreen Acupunture Clinic Facility NPI 1447361597

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in San Jose, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
60 Specialists

Practicing in San Jose, CA (3346 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G69219

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00G692190 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1053427971

DPMINC

NPI 1063680635

Doctor of Medicine (M.D.)

Dr. Barbara Hastings , MD

Psychiatry & Neurology - Neurology

NPI 1164549994

Doctor of Medicine (M.D.)

Dr. Miguel Doria , MD, FACS

Colon & Rectal Surgery

NPI 1265416358

Doctor of Medicine (M.D.), FACS

Dr. Robert Weinmann , MD

Psychiatry & Neurology - Neurology

NPI 1689702094

Doctor of Medicine (M.D.)

Dr. Ui Sik Lee , MD

Family Medicine

NPI 1962548008

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 02, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2007

Registered at 2040 FOREST AVE, SUITE 2, SAN JOSE, CA 951284810 (Tel: 4087321957)

📍
Updated Business Mailing Address November 02, 2007

Registered at 10460 MADERA DR, CUPERTINO, CA 950141134 (Tel: 4083560683)

👤
Provider Name / Credentials Updated November 02, 2007

Recorded as LESLIE SULLIVAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Surgery (License #G69219 in CA)

🟢
Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265458467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: November 02, 2007
Sole Proprietor: Yes

Mailing Address

10460 Madera Dr

Cupertino, CA 950141134

Phone: 4083560683

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.