ST. JUDE RADIOLOGY MEDICAL GROUP, INC
NPI 1558918508
Radiology - Diagnostic Radiology in Cupertino, CA

Active since August 23, 2019
1177 ELMSFORD CT, CUPERTINO, CA 95014(858) 546-3800 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1558918508) is a healthcare organization registered as a diagnostic radiology in Cupertino, California and active in the NPI registry since August 2019. The organization lists Amy Elizabeth Steele, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1558918508
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameST. JUDE RADIOLOGY MEDICAL GROUP, INC
Location Address1177 ELMSFORD CTCupertino, CA 95014-4907
Mailing AddressPo Box 940Newbury Park, CA 91319-0940
Organization SubpartNo
Authorized OfficialAmy Elizabeth SteeleCredentialing Specialist · (559) 455-4109
Enumeration DateAugust 23, 2019
NPI 1558918508 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.
1177 ELMSFORD CT, Cupertino, CA 95014

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 5

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

Radiology (Diagnostic Radiology)
1177 ELMSFORD CT
CUPERTINO, CA 95014
Radiology (Diagnostic Radiology)
1177 ELMSFORD CT
CUPERTINO, CA 95014
Radiology (Diagnostic Radiology)
1177 ELMSFORD CT
CUPERTINO, CA 95014
Radiology (Diagnostic Radiology)
1177 ELMSFORD CT
CUPERTINO, CA 95014
Radiology (Diagnostic Radiology)
1177 ELMSFORD CT
CUPERTINO, CA 95014

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 1558918508. It was assigned to this organization in the NPPES registry on August 23, 2019.

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

St. Jude Radiology Medical Group, Inc is located at 1177 Elmsford Ct, Cupertino, CA 95014. The listed phone number is (858) 546-3800.

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 August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.