ST JUDE HERITAGE MEDICAL GROUP - NPI 1053567305 - Internal Medicine in Fullerton, CA

Q: What is St Jude Hospital Yorba Linda's NPI number?

The NPI number for St Jude Hospital Yorba Linda is 1053567305. It was assigned to this organization in the NPPES registry on August 18, 2008. The provider is doing business as St Jude Heritage Medical Group.

Q: What is St Jude Hospital Yorba Linda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About St Jude Heritage Medical Group NPPES

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

ST JUDE HERITAGE MEDICAL GROUP (NPI 1053567305) is a healthcare organization registered as an internal medicine in Fullerton, California and active in the NPI registry since August 2008. The organization lists John C Bennett, Vice President, as its authorized official.

NPPES Registry Identity

NPI1053567305

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameST JUDE HOSPITAL YORBA LINDA

Location Address279 IMPERIAL HWY, SUITE 730Fullerton, CA 92835-1041

Mailing AddressDept La 21190Pasadena, CA 91185-0001 · (714) 449-4800 · Fax (714) 449-4956

Phone(714) 449-4800

Fax(714) 449-4956

Organization SubpartNo

Authorized OfficialJohn C BennettVice President · (714) 578-8586

Enumeration DateAugust 18, 2008

✔ NPI 1053567305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPlastic SurgeryTaxonomy 208200000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

279 IMPERIAL HWY, Fullerton, CA 92835

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Other Names 1

Doing Business AsSt Jude Heritage Medical Group

Other Identifiers 1

Medicare PINW13074CCA

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA M LEVER NP

Nurse Practitioner (Adult Health)

279 IMPERIAL HWY, 770
FULLERTON, CA 92835

Orange County (714) 578-8616

KHALIQ SIDDIQ MD

Hospitalist

279 IMPERIAL HWY, SUITE 770
FULLERTON, CA 92835

Orange County (714) 449-4803

DR. ALEX LEUNG M.D

Internal Medicine

279 IMPERIAL HWY, SUITE 730
FULLERTON, CA 92835

Orange County (714) 449-4842

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 Hospital Yorba Linda's NPI number?

The NPI number for St Jude Hospital Yorba Linda is 1053567305. It was assigned to this organization in the NPPES registry on August 18, 2008. The provider is doing business as St Jude Heritage Medical Group.

Where is St Jude Hospital Yorba Linda located?

St Jude Hospital Yorba Linda is located at 279 Imperial Hwy Suite 730, Fullerton, CA 92835. The listed phone number is (714) 449-4800.

What is St Jude Hospital Yorba Linda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for St Jude Hospital Yorba Linda was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.