ST. JUDE MOBILE HEALTH CLINIC 1
NPI 1386869907
Clinic/Center - Primary Care in Fullerton, CA

Q: What is St. Jude Hospital, Inc.'s NPI number?

The NPI number for St. Jude Hospital, Inc. is 1386869907. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as St. Jude Mobile Health Clinic 1.

Q: What is St. Jude Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since April 17, 2007

731 SOUTH HIGHLAND AVENUE, FULLERTON, CA 92832(714) 446-5100 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St. Jude Mobile Health Clinic 1 NPPES

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

ST. JUDE MOBILE HEALTH CLINIC 1 (NPI 1386869907) is a healthcare organization registered as a primary care in Fullerton, California and active in the NPI registry since April 2007. The organization lists Barry Ross, Vice President, Healthy Communities, as its authorized official.

NPPES Registry Identity

NPI1386869907

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameST. JUDE HOSPITAL, INC.

Location Address731 SOUTH HIGHLAND AVENUEFullerton, CA 92832

Mailing Address731 South Highland AvenueFullerton, CA 92832 · (714) 446-5100

Phone(714) 446-5100

Organization SubpartYes

Authorized OfficialBarry RossVice President, Healthy Communities · (714) 992-3164

Enumeration DateApril 17, 2007

Last NPPES UpdateFebruary 27, 2008

✔ NPI 1386869907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in CA · 70906F

731 SOUTH HIGHLAND AVENUE, Fullerton, CA 92832

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Other Names 1

Doing Business AsSt. Jude Mobile Health Clinic 1

Other Identifiers 1

MedicaidCMM70906FCA

Other Providers at the Same Location NPPES 2

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

ST. JUDE HOSPITAL, INC.

Clinic/Center (Primary Care)

731 SOUTH HIGHLAND AVENUE
FULLERTON, CA 92832

Orange County (714) 446-5100

ST. JUDE HOSPITAL, INC.

Clinic/Center (Primary Care)

731 SOUTH HIGHLAND AVENUE
FULLERTON, CA 92832

Orange County (714) 446-5100

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, Inc.'s NPI number?

The NPI number for St. Jude Hospital, Inc. is 1386869907. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as St. Jude Mobile Health Clinic 1.

Where is St. Jude Hospital, Inc. located?

St. Jude Hospital, Inc. is located at 731 South Highland Avenue, Fullerton, CA 92832. The listed phone number is (714) 446-5100.

What is St. Jude Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for St. Jude Hospital, Inc. was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.