ST JOSEPH HERITAGE HEALTHCARE (NPI# 1285890624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285890624 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH HERITAGE HEALTHCARE |
| Other Organization Name | ST JUDE HOSPITAL YORBA LINDA |
| Practice Address |
1514 Valley Vista Dr Diamond Bar CA 91765-3929 |
| Mailing Address |
200 W Center Street Promenade Suite 400 Anaheim CA 92805-3960 |
| Practice Telephone | 9098601144 |
| Practice Fax Number | 9098608307 |
| Mailing Telephone | 7144494800 |
| Mailing Fax Number | 7144494956 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2017-09-11 |
| Authorized Official Name | JOHN C BENNETT (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 7149377018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE PROVIDER NUMBER | CG4895 | 01 |
| Other Name | Type Code |
|---|---|
| St Jude Hospital Yorba Linda | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770068629 | St Joseph Heritage Healthcare | Family Medicine | 1 Edwards Way, Irvine, CA 92614-5688 | 2018-09-26 |
| 1609925957 | St Joseph Heritage Healthcare | Family Medicine | 500 S Main St Ste 1000, Orange, CA 92868-4533 | 2007-01-09 |
| 1639715709 | St Joseph Heritage Healthcare | Family Medicine | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2019-11-22 |
| 1801443510 | St Joseph Heritage Healthcare | Internal Medicine | 1010 W La Veta Ave Ste 200, Orange, CA 92868-4301 | 2019-08-19 |
| 1427305960 | St Joseph Heritage Healthcare | Physical Medicine & Rehabilitation | 26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330 | 2012-08-14 |
| 1649551086 | St Joseph Heritage Healthcare | Anesthesiology | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2011-08-30 |
| 1386937225 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 2826 Harris St, Eureka, CA 95503-4809 | 2011-05-25 |
| 1316243769 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835 | 2011-02-02 |
| 1205131950 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 1100 Trancas St, Suite 209, Napa, CA 94558-2900 | 2011-01-11 |
| 1053616706 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 19333 Bear Valley Rd, Suite 106, Apple Valley, CA 92308-5148 | 2011-01-11 |
| Street Address |
1514 VALLEY VISTA DR |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91765-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847116 | Roberta Nieto | Family Medicine | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2005-08-02 |
| 1699208942 | Jing Chen | Pediatrics | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2017-04-04 |
| 1053706309 | Aaron Lin | Family Medicine | 1514 Valley Vista Dr, St Jude Heritage Medical Group, Diamond Bar, CA 91765 | 2015-04-03 |
| 1801208707 | Eric J Lee | Family Medicine | 1514 Valley Vista Dr, Diamond Bar, CA 91765 | 2014-05-27 |
| 1104264472 | Sarom Pyun | Family Medicine | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2013-06-10 |
| 1942586623 | Silvia Alonzo | Physician Assistant | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2011-10-26 |
| 1629374053 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2011-02-02 |
| 1184834699 | Denette Munchel | Physician Assistant | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2007-05-23 |
| 1336357896 | Kent Stout | Physician Assistant | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2007-05-18 |
| 1417165978 | Deborah Lynn White | Physician Assistant | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354839 | American Fertility Medical Center Corporation | Clinic/Center | 1370 Valley Vista Dr Suite 135, Diamond Bar, CA 91765 | 2019-12-26 |
| 1780221101 | Jong Moon Lee | Dentist | 1108 So. Diamond Bar Blvd. Diamond Bar, Diamond Bar, CA 91765 | 2019-12-04 |
| 1740741271 | Dr Doshi Dds Dental Corporation | Dentist | 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 | 2019-03-27 |
| 1669998423 | Justin Leopoldo Lopez | Behavior Technician | 3230 Fallow Field Dr., Diamond Bar, CA 91765 | 2017-08-14 |
| 1295258564 | Chino Care Inc. | Clinic/Center | 5402 Philadelphia St., Suite C, Chino, CA 91765 | 2017-07-19 |
| 1962942292 | Sonia Wurtenberger | Marriage & Family Therapist | 21660 Copley Drive, Suite 210, Diamond Bar, CA 91765 | 2017-03-06 |
| 1225575863 | Swapnaja M Honnakore | Speech-Language Pathologist | 706 N. Diamond Bar Blvd, B2, Diamond Bar, CA 91765 | 2017-01-20 |
| 1659816106 | Transit Solutions | Non-emergency Medical Transport (VAN) | 23545 Palomino Dr., 518, Diamond Bar, CA 91765 | 2016-12-19 |
| 1316498215 | Rite Aid | Pharmacy | 2059 S Garey Avenue, Pomona, CA 91765 | 2016-10-17 |
| 1104372978 | Marie Claude Dor | Registered Nurse | 2704 Castle Rock Road, Diamond Bar, CA 91765 | 2016-08-31 |
| Find all providers in zip 91765 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750895694 | Alireza Halati, Md Medical Corporation | General Practice | 3220 S Brea Canyon Rd Ste F, Diamond Bar, CA 91765-3481 | 2017-11-30 |
| 1720265887 | Yvonne Hou | General Practice | 1033 Hourglass Pl, Diamond Bar, CA 91765-4277 | 2008-01-30 |
| 1932217056 | Sushma Bahl | General Practice | 21671 Gateway Center Dr, Suite #101, Diamond Bar, CA 91765-2461 | 2006-08-28 |
| 1841746799 | Beau Michael Chung | General Practice | 3220 S Brea Canyon Rd, Suite H, Diamond Bar, CA 91765-3481 | 2016-08-31 |
| 1720486822 | Shah Wellness Medical Clinic Inc. | General Practice | 23341 Golden Springs Dr, Suite 210, Diamond Bar, CA 91765-2058 | 2014-12-05 |
| 1841522299 | Sushma Bahl M.d., Inc. | General Practice | 1200 S Diamond Bar Blvd, Suite 108, Diamond Bar, CA 91765-2298 | 2010-02-10 |
| 1205004983 | Yu Care Medical Group, Inc. | General Practice | 1200 S Diamond Bar Blvd, Diamond Bar, CA 91765-2298 | 2008-02-14 |
| 1477754562 | H. Shah, M.d., Inc. | General Practice | 23341 Golden Springs Dr, Suite 210, Diamond Bar, CA 91765-2058 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | DIAMOND BAR |
| Zip Code | 91765 |
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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.