ST JUDE HOSPITAL YORBA LINDA (NPI# 1043608805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043608805 |
| Entity Type | Organization |
| Organization Name | ST JUDE HOSPITAL YORBA LINDA |
| Other Organization Name | ST JOSEPH HERITAGE HEALTHCARE |
| Practice Address |
3555 Round Barn Cir Santa Rosa CA 95403-1757 |
| Mailing Address |
279 Imperial Hwy Suite 730 Fullerton CA 92835-1041 |
| Practice Telephone | 7075281050 |
| Practice Fax Number | 7075253874 |
| Mailing Telephone | 7144494841 |
| Mailing Fax Number | 7144494956 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | BOB JUST (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7073038355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NSC | 6852510004 | 01 |
| 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 |
| 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 |
| 1396041315 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 2720 N Harbor Blvd, Suite 300, Fullerton, CA 92835-2609 | 2011-02-09 |
| Street Address |
3555 ROUND BARN CIR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190949 | Lorraine A Champion | Specialist | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2005-10-31 |
| 1376963314 | St Jude Hospital Yorba Linda | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2014-04-17 |
| 1770743312 | Sara Ann Keck | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2008-06-16 |
| 1962587444 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-25 |
| 1972683753 | Theresa Louise Mortensen | Nurse Practitioner | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-16 |
| 1801986641 | Ralph Bailey Hanahan | Radiology | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-13 |
| 1376633149 | Wes Shen-lin Lee | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-10-13 |
| 1861582322 | Cindy Okada Scharfen | Radiology | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-13 |
| 1518055573 | Ian Churchill Anderson | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-10-11 |
| 1013018035 | Jarrod Paul Holmes | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376963314 | St Jude Hospital Yorba Linda | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2014-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1366845166 | Dr Shahrooz Eshaghian Md Inc | Internal Medicine | 470 N Robinwood Dr, Los Angeles, CA 90049-2328 | 2014-10-07 |
| 1801214903 | Varsha Tulpule | Internal Medicine | 1441 Eastlake Ave # Nor3444, Los Angeles, CA 90089-1029 | 2014-04-04 |
| 1912321407 | Jennifer Sanbar | Internal Medicine | 2640 Montrose Ave, Montrose, CA 91020-1312 | 2014-02-05 |
| 1053654467 | Pratik Multani | Internal Medicine | 6293 Belmont Trail Ct, San Diego, CA 92130-6819 | 2013-04-03 |
| 1689928533 | Michael Wayne Saville | Internal Medicine | 1811 Aston Ave, Carlsbad, CA 92008-7396 | 2012-10-30 |
| 1396090106 | Ijaz I Arshad Md Inc. | Internal Medicine | 2433 Marshall Rd, Imperial, CA 92251-9599 | 2012-07-17 |
| 1013278811 | Ann Margaretha Lowe | Internal Medicine | 420 Cambridge Ave, Unit 3, Palo Alto, CA 94306-1507 | 2012-06-07 |
| 1285992230 | Nathaniel James Myall | Internal Medicine | 300 Pasteur Drive, Grant S101, Stanford, CA 94305-5109 | 2012-04-27 |
| 1821367467 | Jonathan Peter Schechter | Internal Medicine | 3823 Greenview Dr, El Dorado Hills, CA 95762-5218 | 2011-12-28 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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.