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ST. JUDE RADIOLOGY MEDICAL GROUP, INC.
NPI 1609398676
Radiology - Diagnostic Radiology in Orange, CA

Active since July 12, 2017
6043 E BIRDCAGE CT, ORANGE, CA 92869(714) 992-3978 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jul 12, 2017 (2 updates tracked since 2017).

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 1609398676) is a healthcare organization registered as a diagnostic radiology in Orange, California and active in the NPI registry since July 2017. The organization maintains 3 additional practice locations and lists Bradley A. Jackson, Medical Director / Ceo, as its authorized official.

NPPES Registry Identity

NPI1609398676
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameST. JUDE RADIOLOGY MEDICAL GROUP, INC.
Location Address6043 E BIRDCAGE CTOrange, CA 92869-6015
Mailing AddressPo Box 940Newbury Park, CA 91319-0940
Phone(714) 992-3978
Organization SubpartNo
Authorized OfficialBradley A. JacksonMedical Director / Ceo · (714) 992-3978
Enumeration DateJuly 12, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1609398676 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.
6043 E BIRDCAGE CT, Orange, CA 92869
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Secondary Practice Locations 3

Location 138 PaperbarkIrvine, CA 92620-3442 · Phone (714) 922-3978
Location 213632 Tea House StSanta Ana, CA 92705-2822 · Phone (714) 992-3978
Location 31416 Arch LnHuntington Beach, CA 92648-3765 · Phone (714) 992-3978

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 3

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

REGIONAL DIAGNOSTIC IMAGING
Radiology (Diagnostic Radiology)
6043 E BIRDCAGE CT
ORANGE, CA 92869
Orange County (559) 455-4138
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
Radiology (Diagnostic Radiology)
6043 E BIRDCAGE CT
ORANGE, CA 92869
Orange County (559) 455-4009
I V RADIOLOGY MEDICAL GROUP
Radiology (Diagnostic Radiology)
6043 E BIRDCAGE CT
ORANGE, CA 92869
Orange County (559) 455-4127

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 1609398676. It was assigned to this organization in the NPPES registry on July 12, 2017.

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

St. Jude Radiology Medical Group, Inc. is located at 6043 E Birdcage Ct, Orange, CA 92869. The listed phone number is (714) 992-3978.

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 March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.