ST JUDE RADIOLOGY MEDICAL GROUP INC
NPI 1255819892
Radiology - Diagnostic Radiology in Fullerton, CA

Q: What is St Jude Radiology Medical Group Inc's NPI number?

The NPI number for St Jude Radiology Medical Group Inc is 1255819892. It was assigned to this organization in the NPPES registry on August 6, 2018.

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 August 06, 2018

101 E VALENCIA MESA DR, FULLERTON, CA 92835(714) 992-3000(916) 533-0313 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2021, Aug 6, 2018 (2 updates tracked since 2018).

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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 1255819892) is a healthcare organization registered as a diagnostic radiology in Fullerton, California and active in the NPI registry since August 2018. The organization lists Bradley A. Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255819892

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameST JUDE RADIOLOGY MEDICAL GROUP INC

Location Address101 E VALENCIA MESA DRFullerton, CA 92835-3809

Mailing AddressPo Box 26570Fresno, CA 93729-6570 · (714) 992-3978 · Fax (714) 446-5908

Phone(714) 992-3000

Fax(916) 533-0313

Organization SubpartNo

Authorized OfficialBradley A. JacksonCeo · (559) 455-4109

Enumeration DateAugust 6, 2018

Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2021

✔ NPI 1255819892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

101 E VALENCIA MESA DR, Fullerton, CA 92835

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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 20

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

PIUS J. KIM M.D.

Internal Medicine