ST. JUDE NEIGHBORHOOD HEALTH CENTERS (NPI# 1316572563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316572563 |
| Entity Type | Organization |
| Organization Name | ST. JUDE NEIGHBORHOOD HEALTH CENTERS |
| Other Organization Name | ST. MARY HEALTH CENTERS - APPLE VALLEY |
| Practice Address |
18077 Outer Hwy 18 Ste 100 Apple Valley CA 92307-2168 |
| Practice Telephone | 7609468169 |
| Practice Fax Number | 7609468875 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | TIMOTHY JASON BROWN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2088999631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Mary Health Center - Apple Valley | Other Name - Individual/Organization |
| St. Mary Health Centers - Apple Valley | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851926000 | St. Jude Neighborhood Health Centers | Clinic/Center | 17071 Main St Ste 100, Hesperia, CA 92345-6071 | 2020-03-09 |
| 1578198727 | St. Jude Neighborhood Health Centers | Clinic/Center | 11965 Cactus Rd Ste Ijk, Adelanto, CA 92301-4909 | 2020-03-09 |
| 1235627563 | St. Jude Neighborhood Health Centers | Clinic/Center | 725 W La Veta Ave Ste 260, Orange, CA 92868-4439 | 2018-04-23 |
| 1184092017 | St. Jude Neighborhood Health Centers | Clinic/Center | 1801 S Greenville St, Santa Ana, CA 92704-4005 | 2015-09-09 |
| 1689070716 | St. Jude Neighborhood Health Centers | Clinic/Center | 363 S Main St # 204, Orange, CA 92868-3833 | 2014-11-18 |
| 1861898991 | St. Jude Neighborhood Health Centers | Clinic/Center | 363 S Main St Ste 204, Orange, CA 92868-3833 | 2014-11-18 |
| 1568021772 | St. Jude Neighborhood Health Centers | Clinic/Center | 353 S Main St, Orange, CA 92868-3833 | 2019-06-11 |
| 1457742447 | St. Jude Neighborhood Health Centers | Clinic/Center | 3232 Topaz Ln, Fullerton, CA 92831-2609 | 2015-02-11 |
| 1821494535 | St. Jude Neighborhood Health Centers | Clinic/Center | 353 S Main St, Orange, CA 92868-3833 | 2014-11-06 |
| 1316206592 | St. Jude Neighborhood Health Centers | Clinic/Center | 731 S Highland Ave, Fullerton, CA 92832-2753 | 2012-05-09 |
| Street Address |
18077 OUTER HWY 18 STE 100 |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92307-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336653195 | Darcie Roseanne Tough | Advanced Practice Midwife | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2017-11-30 |
| 1578103800 | Gryan Eroll Robles Garcia | Nurse Practitioner | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2020-01-15 |
| 1932766458 | Matthew Larsen | Advanced Practice Midwife | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106025 | Rajender S. Thakran, M.d., Inc | Specialist | 16030 Kamana Rd, Apple Valley, CA 92307 | 2020-02-13 |
| 1477119980 | Harpreet Singh | Nurse Practitioner | 18300 Ca-18, Apple Valley, Ca 92307, Apple Valley, CA 92307 | 2019-05-10 |
| 1184120784 | Frantz Jean-louis | Nurse Practitioner | 16134 Muni Rd, Apple Valley, CA 92307 | 2018-04-03 |
| 1053862078 | Ashley M Morello | Registered Nurse | Universal Pain Management, 16179 Siskiyou, Apple Valley, CA 92307 | 2016-10-14 |
| 1891191680 | Ann Simonds | Marriage & Family Therapist | 20601 Us Highway 18 Ste 123, Apple Valley, CA 92307 | 2014-11-06 |
| 1396147419 | Aaa Family Medical Group | Family Medicine | 15995 Tuscola Rd Ste 202, Apple Valley, CA 92307 | 2014-09-19 |
| 1659780534 | Relena Tran | Pharmacist | 20251 Highway 18, Apple Valley, CA 92307 | 2014-08-05 |
| 1639508526 | Meagan Katherine Blades | Physician Assistant | 18300 Outer Hwy 18, Apple Valley, CA 92307 | 2013-11-01 |
| 1720341555 | Jonathan Robert Cox | Dermatology | 18523 Corwin Rd Ste G, Apple Valley, CA 92307 | 2012-06-18 |
| 1821364365 | Leary Sport and Spine Chiropractic Inc. | Chiropractor | 18564 Us Highway 18 Suite, 303, Apple Valley, CA 92307 | 2012-03-29 |
| Find all providers in zip 92307 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942735923 | Andres A De La Llana Md Inc | Clinic/Center | 15982 Quantico Rd Ste C, Apple Valley, CA 92307-1382 | 2017-04-27 |
| 1639449960 | Damodara Rajasekhar, Md, A Medical Corporation | Clinic/Center | 18182 Outer Highway 18 Ste 103, Apple Valley, CA 92307-2200 | 2012-01-03 |
| 1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
| 1356526263 | Jaime C David Md Inc | Clinic/Center | 18419 Us Highway 18 Ste 6, Apple Valley, CA 92307-2333 | 2008-01-09 |
| 1043855208 | Hisham Abukamleh Md. Inc | Clinic/Center | 18144 Us Highway 18 Ste 140, Apple Valley, CA 92307-2219 | 2019-11-12 |
| 1083002257 | Desert Mountain Medical Group, Inc. | Clinic/Center | 18523 Corwin Rd Ste E, Apple Valley, CA 92307-2300 | 2014-12-22 |
| 1689844573 | Shatha Bakir, M.d., Inc. | Clinic/Center | 18523 Corwin Rd, Suite G, Apple Valley, CA 92307-2338 | 2008-03-06 |
| 1043407893 | Radiology & Imaging Consultants Pa | Clinic/Center | 7373 147th St W, Apple Valley, MN 55124-7690 | 2007-09-25 |
| 1649462508 | Fairview Clinics | Clinic/Center | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699521 | Flora Lim | Clinic/Center | 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 | 2020-11-08 |
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | APPLE VALLEY |
| Zip Code | 92307 |
Please comment or provide details below to improve the information on ST. JUDE NEIGHBORHOOD HEALTH CENTERS.
| 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.