ST JUDE HOSPITAL YORBA LINDA, INC. (NPI# 1518349216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518349216 |
Entity Type | Organization |
Organization Name | ST JUDE HOSPITAL YORBA LINDA, INC. |
Other Organization Name | ST JOSEPH HERITAGE HEALTHCARE |
Practice Address |
3355 Michelson Dr Ste. 490 Irvine CA 92612-0684 |
Mailing Address |
Po Box 31001-1920 Pasadena CA 91110-1920 |
Practice Telephone | 9495268375 |
Enumeration Date | 2015-06-18 |
Last Update Date | 2015-07-07 |
Authorized Official Name | TINA MYCROFT (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 7149377023 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
St Joseph Heritage Healthcare | Doing Business As Name - Organization |
Street Address |
3355 MICHELSON DR STE. 490 |
City | IRVINE |
State | CA |
Zip Code | 92612-0684 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
1952959207 | Dorothy Dawn Malsack | Dietitian, Registered | 20 Pergola, Irvine, CA 92612 | 2019-08-29 |
1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
1518426907 | Linklan Logistics Inc | Transportation Broker | 19200 Von Karman Ave Ste 612, Irvine, CA 92612 | 2019-03-15 |
1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
1871033365 | Livhome, Inc. | In Home Supportive Care | 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 | 2017-03-02 |
1073061511 | Susan Nguyen | Marriage & Family Therapist | 2081 Business Center Dr Ste 109, Irvine, CA 92612 | 2016-09-13 |
1043617574 | Jason Polhamus | Community Health Worker | 4885 Royce Rd, Irivne, CA 92612 | 2014-11-26 |
1013313386 | Marisa Lepore | Marriage & Family Therapist | 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 | 2014-11-13 |
1558798462 | Fatima Manesh | Acupuncturist | 8 Palmento Way, Irvine, CA 92612 | 2013-10-09 |
Find all providers in zip 92612 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720621634 | Sherif Labatia Md & Marianne Mikhail Md Inc | Family Medicine | 4950 Barranca Pkwy Ste 308, Irvine, CA 92604-4631 | 2019-10-23 |
1770068629 | St Joseph Heritage Healthcare | Family Medicine | 1 Edwards Way, Irvine, CA 92614-5688 | 2018-09-26 |
1851888671 | Infinity Medicine Inc | Family Medicine | 9950 Research Dr, Irvine, CA 92618-4309 | 2018-04-17 |
1336650068 | Newport Personal Medicine, Inc. | Family Medicine | 22 Odyssey Ste 110, Irvine, CA 92618-3186 | 2017-10-20 |
1457886095 | Wayland Tang | Family Medicine | 3877 Portola Pkwy, Irvine, CA 92602-0828 | 2017-04-20 |
1891148102 | Community Performancerx Mso, LLC | Family Medicine | 9701 Jeronimo Rd, Suite 300, Irvine, CA 92618-2076 | 2016-07-21 |
1376998732 | Janet Solis | Family Medicine | 307 Verano Pl, Irvine, CA 92617-3107 | 2016-05-04 |
1164878534 | Sadaf Sareshwala | Family Medicine | 1001 Health Sciences Rd, Irvine, CA 92697-3054 | 2016-05-04 |
1538543376 | Network of Orange County Community Health Center | Family Medicine | 17701 Cowan, Suite 220, Irvine, CA 92614-6057 | 2015-07-10 |
1154757201 | Low T Physicians of California PC | Family Medicine | 4968 Booth Circle, Suite 110, Irvine, CA 92604-3371 | 2013-09-20 |
Find all providers in IRVINE |
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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.