ST. JUDE RADIOLOGY MEDICAL GROUP, INC.
NPI 1043732001
Radiology - Diagnostic Radiology in South Pasadena, CA

Q: What is St. Jude Radiology Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since July 12, 2017

2059 STRATFORD AVE, SOUTH PASADENA, CA 91030(714) 992-3978 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jul 12, 2017 (2 updates tracked since 2017).

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About St. Jude Radiology Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JUDE RADIOLOGY MEDICAL GROUP, INC. (NPI 1043732001) is a healthcare organization registered as a diagnostic radiology in South Pasadena, California and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Santa Monica and lists Bradley A. Jackson, Medical Director / Ceo, as its authorized official.

NPPES Registry Identity

NPI1043732001

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameST. JUDE RADIOLOGY MEDICAL GROUP, INC.

Location Address2059 STRATFORD AVESouth Pasadena, CA 91030-4640

Mailing AddressPo Box 940Newbury Park, CA 91319-0940

Phone(714) 992-3978

Organization SubpartNo

Authorized OfficialBradley A. JacksonMedical Director / Ceo · (714) 992-3978

Enumeration DateJuly 12, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1043732001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2059 STRATFORD AVE, South Pasadena, CA 91030

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Secondary Practice Location 1

Location 12311 4th St Apt 321Santa Monica, CA 90405-3459 · Phone (714) 992-3978

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Jude Radiology Medical Group, Inc.'s NPI number?

The NPI number for St. Jude Radiology Medical Group, Inc. is 1043732001. It was assigned to this organization in the NPPES registry on July 12, 2017.

Where is St. Jude Radiology Medical Group, Inc. located?

St. Jude Radiology Medical Group, Inc. is located at 2059 Stratford Ave, South Pasadena, CA 91030. The listed phone number is (714) 992-3978.

What is St. Jude Radiology Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for St. Jude Radiology Medical Group, Inc. was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.