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ST. JUDE RADIOLOGY MEDICAL GROUP, INC.
NPI 1790208155
Radiology - Diagnostic Radiology in San Diego, CA

Active since July 18, 2017
8070 ENTRADA DE LUZ E, SAN DIEGO, CA 92127(714) 992-3978 Get Directions Write a Review

NPPES record last updated: July 18, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 1790208155) is a healthcare organization registered as a diagnostic radiology in San Diego, California and active in the NPI registry since July 2017. The organization lists Bradley Jackson, Medical Director / Ceo, as its authorized official.

NPPES Registry Identity

NPI1790208155
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameST. JUDE RADIOLOGY MEDICAL GROUP, INC.
Location Address8070 ENTRADA DE LUZ ESan Diego, CA 92127-2561
Mailing AddressPo Box 940Newbury Park, CA 91319-0940 · (800) 317-5834
Phone(714) 992-3978
Organization SubpartNo
Authorized OfficialBradley JacksonMedical Director / Ceo · (714) 992-3978
Enumeration DateJuly 18, 2017
✔ NPI 1790208155 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.

8070 ENTRADA DE LUZ E, San Diego, CA 92127
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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

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

CENTURY RADIOLOGY MEDICAL GROUP INC
Radiology (Diagnostic Radiology)
8070 ENTRADA DE LUZ E
SAN DIEGO, CA 92127
San Diego County (559) 455-4009

Frequently Asked Questions

What is ST. JUDE RADIOLOGY MEDICAL GROUP, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1790208155, enumerated as an "organization" on July 18, 2017.

Where is the provider located?

The provider is located at 8070 ENTRADA DE LUZ E SAN DIEGO, CA 92127 and the phone number is (714) 992-3978.

What is the provider's specialty?

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.