ST. JUDE HOSPITAL YORBA LINDA (NPI# 1194263822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194263822 |
| Entity Type | Organization |
| Organization Name | ST. JUDE HOSPITAL YORBA LINDA |
| Other Organization Name | WELLNESS CENTER - PARAMOUNT P3 |
| Practice Address |
3701 Michelson St Lakewood CA 90712-1402 |
| Mailing Address |
200 W Center Street Promenade Suite 800 Anaheim CA 92805-3960 |
| Practice Telephone | 5622757303 |
| Practice Fax Number | 5626342430 |
| Mailing Telephone | 7143477910 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | JOHN BENNETT (CHIEF ADMINISTRATION OFFICER) |
| Authorized Official Telephone | 7144494942 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Wellness Center - Paramount P3 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306384375 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3355 Michelson Dr, Suite 490, Irvine, CA 92612-0684 | 2017-02-09 |
| 1396283453 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 57 Prism, Irvine, CA 92618-3148 | 2017-02-08 |
| 1427596212 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3345 Michelson Dr, Suite 350, Irvine, CA 92612-0692 | 2017-02-01 |
| 1306384185 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 4 Park Plz, Suite 150, Irvine, CA 92614-8560 | 2017-02-01 |
| 1932647716 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 600 Newport Center Dr, Suite 150, Newport Beach, CA 92660-6417 | 2017-02-01 |
| 1730627464 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 65 N 1st Ave, Suite 202c, Arcadia, CA 91006-3207 | 2017-02-01 |
| 1306383427 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 52 Discovery, Irvine, CA 92618-3105 | 2017-01-26 |
| 1245777465 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 200 W Center Street Promenade, Suite 100b, Anaheim, CA 92805-3960 | 2017-01-25 |
| Street Address |
3701 MICHELSON ST |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043766413 | Paladina Health, LLC | Family Medicine | 3701 Michelson St, Lakewood, CA 90712-1402 | 2016-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023339165 | Optumcare Management, LLC | Non-Pharmacy Dispensing Site | 5001 Lakewood Blvd, Lakewood, CA 90712-2412 | 2010-06-11 |
| 1659821742 | Shore Orthopaedic Group | Non-Pharmacy Dispensing Site | 1255 Route 70, Suite 10-n, Lakewood, NJ 08701-5900 | 2016-10-12 |
| 1790233823 | Balance Medical and Wellness Group LLC | Non-Pharmacy Dispensing Site | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-09-19 |
| 1124372917 | Altmed of Colorado, Pllc | Non-Pharmacy Dispensing Site | 3500 S Wadsworth Blvd, Suite 302, Lakewood, CO 80235-2019 | 2012-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.