LA AMISTAD MOBILE MEDICAL
NPI 1568021772
Clinic/Center - Primary Care in Orange, CA

Active since June 11, 2019
1934 E TAFT AVE, ORANGE, CA 92865(714) 771-8006 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2023, Jun 17, 2020, Jun 11, 2019 (3 updates tracked since 2019).

About La Amistad Mobile Medical NPPES

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

LA AMISTAD MOBILE MEDICAL (NPI 1568021772) is a healthcare organization registered as a primary care in Orange, California and active in the NPI registry since June 2019. The organization lists Timothy Jason Brown, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1568021772
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST. JUDE NEIGHBORHOOD HEALTH CENTERS
Location Address1934 E TAFT AVEOrange, CA 92865-4702
Mailing Address731 S Highland AveFullerton, CA 92832-2753
Organization SubpartYes
Authorized OfficialTimothy Jason BrownChief Executive Officer · (208) 899-9631
Enumeration DateJune 11, 2019
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
NPI 1568021772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1934 E TAFT AVE, Orange, CA 92865

Other Names 1

Other NameLa Amistad Mobile Medical

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 Neighborhood Health Centers's NPI number?

The NPI number for St. Jude Neighborhood Health Centers is 1568021772. It was assigned to this organization in the NPPES registry on June 11, 2019. The provider is also known as La Amistad Mobile Medical.

Where is St. Jude Neighborhood Health Centers located?

St. Jude Neighborhood Health Centers is located at 1934 E Taft Ave, Orange, CA 92865. The listed phone number is (714) 771-8006.

What is St. Jude Neighborhood Health Centers'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 Neighborhood Health Centers was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.