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ST JUDE RADIOLOGY MEDICAL GRP, INC
NPI 1588788152
Radiology - Diagnostic Radiology in Fullerton, CA

Active since March 19, 2007
2151 N HARBOR BLVD, FULLERTON, CA 92835(714) 992-3978(714) 992-3298 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Jude Radiology Medical Grp, Inc NPPES

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

ST JUDE RADIOLOGY MEDICAL GRP, INC (NPI 1588788152) is a healthcare organization registered as a diagnostic radiology in Fullerton, California and active in the NPI registry since March 2007. The organization lists Robert C Morten, President, as its authorized official.

NPPES Registry Identity

NPI1588788152
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameST JUDE RADIOLOGY MEDICAL GRP, INC
Location Address2151 N HARBOR BLVDFullerton, CA 92835-3801
Mailing AddressPo Box 4505Woodland Hills, CA 91365-4505 · (805) 375-8800 · Fax (805) 375-8900
Phone(714) 992-3978
Fax(714) 992-3298
Organization SubpartNo
Authorized OfficialRobert C MortenPresident · (714) 992-3978
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1588788152 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.
2151 N HARBOR BLVD, 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 15

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

YNOLDE FAUSTINA SMITH DO
Family Medicine
2151 N HARBOR BLVD, SUITE 3200
FULLERTON, CA 92835
Orange County (714) 446-5101
ALAN BORSARI M.D.
Internal Medicine (Cardiovascular Disease)
2151 N HARBOR BLVD
FULLERTON, CA 92835
Orange County (714) 449-4800
ST JUDE HOSPITAL YORBA LINDA
Family Medicine
2151 N HARBOR BLVD, SUITE 3200
FULLERTON, CA 92835
Orange County (714) 446-5101
PATRICIA MARTIN NP-C
Nurse Practitioner (Family)
2151 N HARBOR BLVD
FULLERTON, CA 92835
Orange County (714) 449-6230
SANJAY SHARMA M.D.
Internal Medicine (Medical Oncology)
2151 N HARBOR BLVD, SUITE 2200
FULLERTON, CA 92835
Orange County (714) 449-4800
ANDREA PRIBAC ANCP-BC
Nurse Practitioner (Acute Care)
2151 N HARBOR BLVD
FULLERTON, CA 92835
Orange County (714) 446-5830
DAVID J PARK M.D.
Internal Medicine (Medical Oncology)
2151 N HARBOR BLVD, SUITE 2200
FULLERTON, CA 92835
Orange County (714) 446-5900
ROY LOGARTA PANARES MD
Internal Medicine (Hematology & Oncology)
2151 N HARBOR BLVD, SUITE 2200
FULLERTON, CA 92835
Orange County (714) 446-5900

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 Grp, Inc's NPI number?

The NPI number for St Jude Radiology Medical Grp, Inc is 1588788152. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is St Jude Radiology Medical Grp, Inc located?

St Jude Radiology Medical Grp, Inc is located at 2151 N Harbor Blvd, Fullerton, CA 92835. The listed phone number is (714) 992-3978.

What is St Jude Radiology Medical Grp, 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 Grp, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.