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ST, JUDE HERITAGE MEDICAL GROUP
NPI 1538436274
Nurse Practitioner - Family in Fullerton, CA

Active since November 23, 2011
731 S HIGHLAND AVE, FULLERTON, CA 92832(714) 446-5100 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1538436274) is a healthcare organization registered as a family in Fullerton, California and active in the NPI registry since November 2011. The organization lists Bob O'neil, Vp Of Physician Services, as its authorized official.

NPPES Registry Identity

NPI1538436274
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameST, JUDE HERITAGE MEDICAL GROUP
Location Address731 S HIGHLAND AVEFullerton, CA 92832-2753
Mailing Address731 S. Highland AveFullerton, CA 92832-2753
Phone(714) 446-5100
Organization SubpartNo
Authorized OfficialBob O'neilVp Of Physician Services · (714) 578-8616
Enumeration DateNovember 23, 2011
✔ NPI 1538436274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 21377
731 S HIGHLAND AVE, Fullerton, CA 92832
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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.

EMELY ISELA VAZQUEZ
Community Health Worker
731 S HIGHLAND AVE
FULLERTON, CA 92832
Orange County (714) 446-5100
MILIE MARIE TOLENTINO MD
Family Medicine
731 S HIGHLAND AVE
FULLERTON, CA 92832
Orange County (714) 446-5100
LIZETTE GONZALEZ
Case Manager/Care Coordinator
731 S HIGHLAND AVE
FULLERTON, CA 92832
Orange County (714) 446-5100
ANTHONY-TU DO
Family Medicine
731 S HIGHLAND AVE
FULLERTON, CA 92832
Orange County (714) 446-5100
AMAL ISAM HAMDAN FNP-C
Nurse Practitioner (Family)
731 S HIGHLAND AVE
FULLERTON, CA 92832
Orange County (714) 446-5100
MS. XENIA MARSHALL LMFT
Marriage & Family Therapist
731 S HIGHLAND AVE
FULLERTON, CA 92832
Orange County (714) 446-5288
PATRICIA H ABELLA
Case Manager/Care Coordinator
731 S HIGHLAND AVE
FULLERTON, CA 92832
Orange County (714) 446-5100
DAISY ORTEGA
Case Manager/Care Coordinator
731 S HIGHLAND AVE
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 Heritage Medical Group's NPI number?

The NPI number for St, Jude Heritage Medical Group is 1538436274. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is St, Jude Heritage Medical Group located?

St, Jude Heritage Medical Group is located at 731 S Highland Ave, Fullerton, CA 92832. The listed phone number is (714) 446-5100.

What is St, Jude Heritage Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for St, Jude Heritage Medical Group was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.