ST JUDE HOSPITAL YORBA LINDA (NPI# 1629374053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629374053 |
| Entity Type | Organization |
| Organization Name | ST JUDE HOSPITAL YORBA LINDA |
| Other Organization Name | ST JOSEPH HERITAGE HEALTHCARE |
| Practice Address |
1514 Valley Vista Dr Diamond Bar CA 91765-3929 |
| Mailing Address |
279 Imperial Hwy Suite 730 Fullerton CA 92835-1041 |
| Practice Telephone | 9098601144 |
| Practice Fax Number | 9098608307 |
| Mailing Telephone | 7144494841 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | JOHN BENNETT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7144494800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ST JOSEPH HERITAGE HEALTHCARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254594 | St Jude Hospital Yorba Linda | Emergency Medicine | 925 Corporate Cntr Pkwy, Suite A, Santa Rosa, CA 95407-5451 | 2016-02-09 |
| 1780980169 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 24 W El Rose Dr, Petaluma, CA 94952-4023 | 2011-02-02 |
| 1043608805 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2015-01-02 |
| 1831587955 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954-2357 | 2014-12-23 |
| 1376963314 | St Jude Hospital Yorba Linda | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2014-04-17 |
| 1700214913 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 | 2013-10-25 |
| 1053617076 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 4750 Hoen Ave, Santa Rosa, CA 95405-7833 | 2011-02-09 |
| 1942506969 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 4900 Prospect Ave, Suite 180, Yorba Linda, CA 92886-2128 | 2011-02-09 |
| 1679879696 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 2720 N Harbor Blvd, Suite 200, Fullerton, CA 92835-2609 | 2011-02-09 |
| 1588960504 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 2720 N Harbor Blvd, Suite 220, Fullerton, CA 92835-2609 | 2011-02-09 |
| 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 |
| 1285890624 | St Joseph Heritage Healthcare | General Practice | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2008-08-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1669706453 | Pei-chi Wu | Family Medicine | 2020 S Brea Canyon Rd Ste A1, Diamond Bar, CA 91765-4012 | 2009-09-25 |
| 1114250925 | Yann Ping Pan | Family Medicine | 2605 Indian Creek Rd, Diamond Bar, CA 91765-3356 | 2009-09-10 |
| 1245476852 | Chihchun Kau | Family Medicine | 21427 Running River Ct, Diamond Bar, CA 91765-2754 | 2009-01-02 |
| 1487794905 | Greg Robert Maddex | Family Medicine | 1111 S Grand Av, Suite L, Diamond Bar, CA 91765 | 2007-02-07 |
| 1629147319 | John Fonmin | Family Medicine | 2707 S Diamond Bar Blvd, #104, Diamond Bar, CA 91765 | 2006-11-07 |
| 1457365553 | Nayan R. Shah | Family Medicine | 324 S Diamond Bar Blvd, #306, Diamond Bar, CA 91765-1607 | 2006-07-27 |
| 1891719852 | David T Chen | Family Medicine | 2705 S Diamond Bar Blvd Ste 100, Diamond Bar, CA 91765-3557 | 2006-07-26 |
| 1942261045 | Peter Soler Yatar Jr. | Family Medicine | 23341 Golden Springs Dr Ste 202, Diamond Bar, CA 91765-2054 | 2006-03-29 |
| 1851350797 | Lubna Isho | Family Medicine | 750 N Diamond Bar Blvd, Diamond Bar, CA 91765-1023 | 2006-03-20 |
| 1306847116 | Roberta Nieto | Family Medicine | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2005-08-02 |
| Find all providers in DIAMOND BAR | ||||
| City | DIAMOND BAR |
| Zip Code | 91765 |
Please comment or provide details below to improve the information on ST JUDE HOSPITAL YORBA LINDA.
| 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.