ST JUDE HOSPITAL INC (NPI# 1891904942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891904942 |
| Entity Type | Organization |
| Organization Name | ST JUDE HOSPITAL INC |
| Other Organization Name | ST JUDE MEDICAL CENTER |
| Practice Address |
2767 E Imperial Hwy Second Floor Brea CA 92821-6713 |
| Mailing Address |
101 E Valencia Mesa Dr Fullerton CA 92835-3809 |
| Practice Telephone | 7148703510 |
| Practice Fax Number | 7148703525 |
| Mailing Telephone | 7148713280 |
| Mailing Fax Number | 7148703525 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-08-19 |
| Authorized Official Name | MRS. MARGARET ILAGAN (MANAGER, PATIENT FINANCIAL SERVICES) |
| Authorized Official Telephone | 7148703510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 060000173 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT30168F | 05 | |
| CA | HSC30168F | 05 |
| Other Name | Type Code |
|---|---|
| ST JUDE MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033313259 | St Jude Hospital Inc | Skilled Nursing Facility | 2767 E Imperial Hwy, Second Floor, Brea, CA 92821-6713 | 2007-06-12 |
| 1942404165 | St Jude Hospital Inc | Rehabilitation Hospital | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2007-06-12 |
| 1194926279 | St Jude Hospital Inc | General Acute Care Hospital | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2007-05-29 |
| Street Address |
2767 E IMPERIAL HWY SECOND FLOOR |
| City | BREA |
| State | CA |
| Zip Code | 92821-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124066303 | Eleanor Deguzman | Physical Therapist | 2767 E Imperial Hwy, Brea, CA 92821-6713 | 2006-06-02 |
| 1164899597 | Peter Dooley Iv | Physical Therapist | 2767 E Imperial Hwy, Brea, CA 92821 | 2015-09-02 |
| 1841609096 | Nelson Jay Baje | Physical Therapist | 2767 E Imperial Hwy, Brea, CA 92821-6713 | 2014-08-12 |
| 1881021137 | Scott Michael Rogoff | Physical Therapist | 2767 E Imperial Hwy, Brea, CA 92821-6713 | 2013-10-02 |
| 1083052096 | Cortland Nowles Witherspoon | Physical Therapist | 2767 E Imperial Hwy, Brea, CA 92821-6713 | 2013-06-12 |
| 1740544311 | Wendy Soesman | Occupational Therapist | 2767 E Imperial Hwy, Brea, CA 92821-6713 | 2012-06-28 |
| 1528358033 | Natalia Covarrubias-eckardt | Physical Medicine & Rehabilitation | 2767 E Imperial Hwy, Brea, CA 92821 | 2011-04-18 |
| 1033313259 | St Jude Hospital Inc | Skilled Nursing Facility | 2767 E Imperial Hwy, Second Floor, Brea, CA 92821-6713 | 2007-06-12 |
| 1720117708 | Melissa Claire Soo Hoo | Psychologist | 2767 E Imperial Hwy, Brea, CA 92821-6713 | 2007-03-05 |
| 1558428235 | St. Jude Hospital, Inc. Dba St. Jude Medical Center | General Acute Care Hospital | 2767 E Imperial Hwy, Second Floor, Brea, CA 92821-6713 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844921 | Christina Marie Iezza | Physical Medicine & Rehabilitation | 500 W. Central Ave, Suite B, Brea, CA 92821 | 2020-02-28 |
| 1962052068 | Joanne Chung | Behavioral Analyst | 3050 Saturn Street, #102, Brea, CA 92821 | 2019-09-19 |
| 1508336736 | Sonia Montez | Physical Therapy Assistant | Jump N Schout, 500 W Central Ave, Brea, CA 92821 | 2018-11-30 |
| 1215411921 | Eye View Optometry, Inc | Optometrist | 605 E. Imperial Hwy, Suite C, Brea, CA 92821 | 2018-09-18 |
| 1700395480 | Sheetal Patel | Registered Nurse | 955 W. Imperial Hwy., Suite 220, Brea, CA 92821 | 2017-09-25 |
| 1952827826 | Grace Cho | Occupational Therapist | 875 N Brea Blvd # 600, Brea, CA 92821 | 2017-08-22 |
| 1063959781 | Veronica Meza | Lactation Consultant, Non-RN | 551 Discovery Lane, #115, Brea, CA 92821 | 2017-01-20 |
| 1780045815 | Audrey Alva | Specialist/Technologist | 460 W. Lambert Road, Brea, CA 92821 | 2016-03-17 |
| 1558734921 | Eun Kim Chiropractic Inc | Chiropractor | 411 Atlas Street, Suite A, Brea, CA 92821 | 2015-11-07 |
| 1053784512 | Caremore Health Plan | Nurse Practitioner | 420 W. Central Avenue #a, Brea, CA 92821 | 2015-11-05 |
| Find all providers in zip 92821 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558428235 | St. Jude Hospital, Inc. Dba St. Jude Medical Center | General Acute Care Hospital | 2767 E Imperial Hwy, Second Floor, Brea, CA 92821-6713 | 2007-01-02 |
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| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
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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.