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

Q: 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.

Q: What is St Jude Emergency Medical Group Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since August 31, 2006

101 E VALENCIA MESA DR, EM DEPT, FULLERTON, CA 92835(949) 300-9287 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1720190804

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameST JUDE EMERGENCY MEDICAL GROUP INC

Location Address101 E VALENCIA MESA DR, EM DEPTFullerton, CA 92835-3809

Mailing AddressPo Box 80380City Of Industry, CA 91716-8380 · (844) 488-7184

Phone(949) 300-9287

Organization SubpartNo

Authorized OfficialDonald J. GrecoPresident · (949) 300-9287

Enumeration DateAugust 31, 2006

Last NPPES UpdateJune 4, 2024

NPPES CertifiedJune 4, 2024

✔ NPI 1720190804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

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.

101 E VALENCIA MESA DR, Fullerton, CA 92835

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Other Names 1

Other NameSt Jude Emergency Medicine Group Inc

Other Identifiers 4

OtherCR0096CA · Rr Medicare

OtherZZZ22082ZCA · Blue Shield

MedicaidGR0042730CA

OtherGR0042730CA · Caloptima

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

PIUS J. KIM M.D.

Internal Medicine