Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
ST JUDE HOSPITAL YORBA LINDA
Active
Organization
ST JUDE HOSPITAL YORBA LINDA
Active
Other names
ST JOSEPH HERITAGE HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BENNETT (CHIEF OPERATING OFFICER)
(714) 449-4800
Entity
Organization
Contact information
Practice address
2141 N HARBOR BLVD, SUITE 25000, FULLERTON, CA 92835-3827
(714) 626-8610
(714) 626-8655
Mailing address
279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 92835-1041
(714) 449-4800
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6852510003
NSC
CA
Enumeration date
10/25/2013
Last updated
01/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up