ST JUDE EMERGENCY MEDICINE GROUP INC
NPI 1720190804
Emergency Medicine in Fullerton, CA
About St Jude Emergency Medicine Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST JUDE EMERGENCY MEDICINE GROUP INC (NPI 1720190804) is a healthcare organization registered as an emergency medicine in Fullerton, California and active in the NPI registry since August 2006. The organization lists Donald J. Greco, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St Jude Emergency Medicine Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
52Medicare enrollment records show 52 clinicians reassign Medicare billing to St Jude Emergency Medicine Group Inc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 52Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Emergency Medical Group Inc's NPI number?
The NPI number for St Jude Emergency Medical Group Inc is 1720190804. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is also known as St Jude Emergency Medicine Group Inc.
Where is St Jude Emergency Medical Group Inc located?
St Jude Emergency Medical Group Inc is located at 101 E Valencia Mesa Dr Em Dept, Fullerton, CA 92835. The listed phone number is (949) 300-9287.
What is St Jude Emergency Medical Group Inc's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is St Jude Emergency Medical Group Inc enrolled in Medicare?
Yes. St Jude Emergency Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Jude Emergency Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 4 Medicare specialties reassign their Medicare billing to St Jude Emergency Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (49), Hospitalist (1) and Internal Medicine (1). Of these, 10 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for St Jude Emergency Medical Group Inc was last updated on June 4, 2024. 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.
# St Jude Emergency Medicine Group Inc · NPI 1720190804
Emergency Medicine organization in Fullerton, California. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1720190804 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Legal business name:** St Jude Emergency Medical Group Inc
- **Organization subpart:** No
- **Authorized official:** Donald Greco, PRESIDENT
## Practice location
- **Address:** 101 E VALENCIA MESA DR, EM DEPT, Fullerton, CA 92835-3809
- **Phone:** (949) 300-9287
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 52 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (49), Hospitalist (1), Internal Medicine (1); 10 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1720190804/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2024
- **Other identifiers:** Other CR0096 (CA); Other ZZZ22082Z (CA); Medicaid GR0042730 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1720190804) · Data from the CMS NPPES public registry.