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ST JOSEPH HERITAGE HEALTHCARE
NPI 1588960504
Pediatrics in Fullerton, CA

Active since February 09, 2011
2720 N HARBOR BLVD, SUITE 220, FULLERTON, CA 92835(714) 449-6990 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St Joseph Heritage Healthcare NPPES

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

ST JOSEPH HERITAGE HEALTHCARE (NPI 1588960504) is a healthcare organization registered as a pediatrics in Fullerton, California and active in the NPI registry since February 2011. The organization lists John Bennett, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1588960504
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameST JUDE HOSPITAL YORBA LINDA
Location Address2720 N HARBOR BLVD, SUITE 220Fullerton, CA 92835-2609
Mailing Address279 Imperial Hwy, Suite 730Fullerton, CA 92835-1041 · (714) 449-4841
Phone(714) 449-6990
Organization SubpartNo
Authorized OfficialJohn BennettChief Operating Officer · (714) 449-4800
Enumeration DateFebruary 9, 2011
✔ NPI 1588960504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2720 N HARBOR BLVD, Fullerton, CA 92835
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Other Names 1

Doing Business AsSt Joseph Heritage Healthcare

Other Identifiers 1

Medicare PINW13074CCA

Other Providers at the Same Location NPPES 19

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

EUGENE BOSTON
Internal Medicine
2720 N HARBOR BLVD, SUITE 100
FULLERTON, CA 92835
Orange County (714) 449-6990
KHALED MAHMOUD HASSAN M.D.
Dermatology (MOHS-Micrographic Surgery)
2720 N HARBOR BLVD, STE 220
FULLERTON, CA 92835
Orange County (714) 578-8527
ST JUDE HOSPITAL YORBA LINDA
Family Medicine
2720 N HARBOR BLVD, SUITE 130
FULLERTON, CA 92835
Orange County (714) 449-6230
CHRISTINE HAE-JIN WON M.D.
Pediatrics
2720 N HARBOR BLVD, SUITE 220
FULLERTON, CA 92835
Orange County (714) 449-6990
ADVANCED SKINCARE, A PROFESSIONAL CORP.
Physician Assistant
2720 N HARBOR BLVD
FULLERTON, CA 92835
Orange County (714) 879-9936
JOEL TETZLAFF PA
Physician Assistant
2720 N HARBOR BLVD, SUITE 130
FULLERTON, CA 92835
Orange County (714) 449-6230
PENNY LANE MAKABENTA PA
Physician Assistant
2720 N HARBOR BLVD, SUITE 130
FULLERTON, CA 92835
Orange County (714) 449-6230
NEGEEN FARMAND PA
Physician Assistant
2720 N HARBOR BLVD, SUITE 130
FULLERTON, CA 92835
Orange County (714) 449-6230

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 Yorba Linda's NPI number?

The NPI number for St Jude Hospital Yorba Linda is 1588960504. It was assigned to this organization in the NPPES registry on February 9, 2011. The provider is doing business as St Joseph Heritage Healthcare.

Where is St Jude Hospital Yorba Linda located?

St Jude Hospital Yorba Linda is located at 2720 N Harbor Blvd Suite 220, Fullerton, CA 92835. The listed phone number is (714) 449-6990.

What is St Jude Hospital Yorba Linda's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for St Jude Hospital Yorba Linda was last updated on February 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.