ST.JUDE HERITAGE MEDICAL GROUP
NPI 1972909927
Specialist in Orange, CA

Q: What is St.Jude Heritage Medical Group's NPI number?

The NPI number for St.Jude Heritage Medical Group is 1972909927. It was assigned to this organization in the NPPES registry on November 18, 2014.

Q: What is St.Jude Heritage Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 18, 2014

1010 W LA VETA AVE STE 710, ORANGE, CA 92868(714) 835-2724(714) 835-2753 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St.jude Heritage Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST.JUDE HERITAGE MEDICAL GROUP (NPI 1972909927) is a healthcare organization registered as a specialist in Orange, California and active in the NPI registry since November 2014. The organization lists Jacqueline Ramirez, Operations Supervisor, as its authorized official.

NPPES Registry Identity

NPI1972909927

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameST.JUDE HERITAGE MEDICAL GROUP

Location Address1010 W LA VETA AVE STE 710Orange, CA 92868-4306

Mailing Address1010 W La Veta Ave Ste 710Orange, CA 92868-4306 · (714) 835-2724 · Fax (714) 835-2753

Phone(714) 835-2724

Fax(714) 835-2753

Organization SubpartNo

Authorized OfficialJacqueline RamirezOperations Supervisor · (714) 835-2724

Enumeration DateNovember 18, 2014

✔ NPI 1972909927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G86364

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1010 W LA VETA AVE STE 710, Orange, CA 92868

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Other Identifiers 1

Medicare PINCB214168CA

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.

DR. JOFFRE ENRIQUE OLAYA

Neurological Surgery

1010 W LA VETA AVE STE 710
ORANGE, CA 92868

Orange County (714) 835-2724

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 Heritage Medical Group's NPI number?

The NPI number for St.Jude Heritage Medical Group is 1972909927. It was assigned to this organization in the NPPES registry on November 18, 2014.

Where is St.Jude Heritage Medical Group located?

St.Jude Heritage Medical Group is located at 1010 W La Veta Ave Ste 710, Orange, CA 92868. The listed phone number is (714) 835-2724.

What is St.Jude Heritage Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for St.Jude Heritage Medical Group was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.