ST JUDE EMERGENCY MEDICINE GROUP INC
NPI 1720190804
Emergency Medicine in Fullerton, CA

NPI Status: Active since August 31, 2006

Contact Information

101 E VALENCIA MESA DR
EM DEPT
FULLERTON, CA
ZIP 92835
Phone: (949) 300-9287

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  • Organization
  • Emergency Medicine

About ST JUDE EMERGENCY MEDICINE GROUP INC

This page provides the complete NPI Profile along with additional information for St Jude Emergency Medicine Group Inc, a provider established in Fullerton, California operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1720190804 assigned on August 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is St Jude Emergency Medicine Group Inc. The authorized official of this NPI record is Donald J. Greco Md (President)

NPI
1720190804
Provider Legal Name
ST JUDE EMERGENCY MEDICAL GROUP INC
Other Organization Name
ST JUDE EMERGENCY MEDICINE GROUP INC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
101 E VALENCIA MESA DR EM DEPT FULLERTON, CA 92835
Location Phone
(949) 300-9287
Mailing Address
PO BOX 80380 CITY OF INDUSTRY, CA 91716
Mailing Phone
(844) 488-7184
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
06-04-2024
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD J. GRECO MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(949) 300-9287

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
CR0096OTHER (01)CARR MEDICARE
ZZZ22082ZOTHER (01)CABLUE SHIELD
GR0042730MEDICAID (05)CA 
GR0042730OTHER (01)CACALOPTIMA

Reviews for ST JUDE EMERGENCY MEDICINE GROUP INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720190804, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 2 + 9 + 0 + 8 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1720190804.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Anesthesiology
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Emergency Medicine
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Emergency Medicine
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Emergency Medicine
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Emergency Medicine
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Emergency Medicine
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Emergency Medicine
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Emergency Medicine
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Emergency Medicine
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Anesthesiology
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Emergency Medicine
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Specialist
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Emergency Medicine (Emergency Medical Services)
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Physician Assistant
101 E VALENCIA MESA DR, EM DEPT
FULLERTON, CA 92835
Nurse Practitioner (Family)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Nurse Practitioner (Pediatrics)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Anesthesiology
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Nurse Practitioner (Family)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Radiology (Diagnostic Radiology)
101 E VALENCIA MESA DR, ST JUDE MEDICAL CENTER
FULLERTON, CA 92835

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720190804, enumerated as an "organization" on August 31, 2006.

The provider is located at 101 E VALENCIA MESA DR EM DEPT FULLERTON, CA 92835 and the phone number is (949) 300-9287.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.