ST JUDE RADIOLOGY MEDICAL GROUP INC
NPI 1649349705
Radiology - Diagnostic Radiology in Fullerton, CA
- Organization
- Radiology
- Diagnostic Radiology
About ST JUDE RADIOLOGY MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for St Jude Radiology Medical Group Inc, a provider established in Fullerton, California operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1649349705 assigned on November 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated one year ago. St Jude Radiology Medical Group Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Renee Nicole Davison (Administrative Assistant)
- NPI
- 1649349705 Verify this NPI
- Provider Name
- ST JUDE RADIOLOGY MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 101 E VALENCIA MESA DR FULLERTON, CA 92835
- Location Phone
- (714) 992-3000
- Location Fax
- (714) 992-3928
- Mailing Address
- 101 E VALENCIA MESA DR FULLERTON, CA 92835
- Mailing Phone
- (714) 992-3000
- Mailing Fax
- (714) 992-3928
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-06-2006
- Last Update Date
- 08-04-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ49329Z | MEDICAID (05) | CA |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FULLERTON, CA 92835
FULLERTON, CA 92835
FULLERTON, CA 92835
FULLERTON, CA 92835
FULLERTON, CA 92835
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649349705, enumerated as an "organization" on November 06, 2006.
The provider is located at 101 E VALENCIA MESA DR FULLERTON, CA 92835 and the phone number is (714) 992-3000.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
