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

Q: What is St. Jude Radiology Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

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: August 09, 2026.

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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 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 Radiology Medical Group, Inc.'s NPI number?

The NPI number for St. Jude Radiology Medical Group, Inc. is 1790208155. It was assigned to this organization in the NPPES registry on July 18, 2017.

Where is St. Jude Radiology Medical Group, Inc. located?

St. Jude Radiology Medical Group, Inc. is located at 8070 Entrada De Luz E, San Diego, CA 92127. The listed phone number is (714) 992-3978.

What is St. Jude Radiology Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for St. Jude Radiology Medical Group, Inc. was last updated on July 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.