ST. JUDE NEIGHBORHOOD HEALTH CENTERS (NPI# 1861898991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861898991 |
| Entity Type | Organization |
| Organization Name | ST. JUDE NEIGHBORHOOD HEALTH CENTERS |
| Other Organization Name | PUENTE A LA SALUD DENTAL CLINIC |
| Practice Address |
363 S Main St Ste 204 Orange CA 92868-3833 |
| Mailing Address |
731 S Highland Ave Fullerton CA 92832-2753 |
| Practice Telephone | 7147718005 |
| Practice Fax Number | 7147448629 |
| Mailing Telephone | 7144465100 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2020-06-17 |
| 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 | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Puente A La Salud Dental Clinic | Doing Business As Name - 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 |
| 1316572563 | St. Jude Neighborhood Health Centers | Clinic/Center | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2020-03-09 |
| 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 |
363 S MAIN ST STE 204 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341287 | Brewer Dental Pllc | Clinic/Center | 2415 Martin Luther King Jr Dr, Orange, TX 77630-1774 | 2020-09-16 |
| 1790346401 | Artistic Smiles Dentistry | Clinic/Center | 2606 E. Chapman Ave., Orange, CA 92869 | 2019-06-24 |
| 1871084400 | Shefagh Sherry Darabi, Dds, A Professional Dental Corporation | Clinic/Center | 245 N Glassell St Ste A, Orange, CA 92866-1408 | 2018-05-18 |
| 1184128191 | Orange Family Dental LLC | Clinic/Center | 450 W River St Ste 2, Orange, MA 01364-1440 | 2018-03-23 |
| 1518488303 | Farheen Shariff Dds PC | Clinic/Center | 1211 N Tustin St, Orange, CA 92867-5147 | 2017-06-30 |
| 1043485782 | Michael J Arzouman Dds | Clinic/Center | 705 W La Veta Avenue, Suite 104, Orange, CA 92868-4447 | 2008-04-24 |
| 1013116656 | R. Kelly Dds, Inc. | Clinic/Center | 951 N Tustin St, Orange, CA 92867-5902 | 2007-07-13 |
| 1386269819 | Cliff Lee Dmd Inc | Clinic/Center | 1122 E Lincoln Ave Ste 209, Orange, CA 92865-1909 | 2020-06-10 |
| 1518421809 | Lee Dental Group Inc | Clinic/Center | 262 S Glassell St, Orange, CA 92866-1918 | 2019-01-30 |
| 1982178919 | Arman Kooshyar Dds Inc | Clinic/Center | 1042 N Tustin St, Orange, CA 92867-5958 | 2019-01-12 |
| Find all providers in ORANGE | ||||
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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.