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Jani K Sullivan

  • Female

Medical Specialty

Professional ID

  • NPI: 1871767202
  • PECOS ID: 6103135785
  • Enrollment ID: I20151021002703
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2010

Hospital Service

  • Hospital CCN1: 050038
  • Business Name (LBN)1: Santa Clara Valley Medical Center

Medical Practices

  • Organization Name: County Of Santa Clara
  • Group Practice ID assigned by PECOS: 1254244973
  • Number of Group Practice member: 312

Location

  • Address1: 751 S Bascom Ave
  • Address2: Santa Clava Vly Med
  • City: San Jose
  • State: California
  • Zip Code: 95128
  • Phone Number: (408)885-5000

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):