ST JUDE MEDICAL CENTER (NPI# 1073087235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073087235 |
| Entity Type | Organization |
| Organization Name | ST JUDE MEDICAL CENTER |
| Practice Address |
4946 E Florence Ave Bell CA 90201 |
| Practice Telephone | 3237730591 |
| Practice Fax Number | 3237733222 |
| Mailing Telephone | 3237730591 |
| Mailing Fax Number | 3237733222 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Authorized Official Name | IHSAN N SHAMAAN (DIRECTOR) |
| Authorized Official Telephone | 3237730591 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| n/a | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST JUDE MEDICAL CENTER PURCHASING DEPT | 101 East Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Street Address |
4946 E FLORENCE AVE |
| City | BELL |
| State | CA |
| Zip Code | 90201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404708 | Zoe Kiklis | Dentist | 7903 Atlantic Ave Ste G, Cudahy, CA 90201 | 2018-04-09 |
| 1508373002 | Ki Baek Lee, Dds. Inc. | Dentist | 6501 Eastern Ave., #b, Bell Gardens, CA 90201 | 2018-01-05 |
| 1003289299 | Ching-yi Chiu | Nurse Practitioner | 6513 S Garfield Ave, Bell Gardens, CA 90201 | 2015-11-10 |
| 1215310008 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6119 Agra St., Bell Gardens, CA 90201 | 2015-06-30 |
| 1932506201 | Helen Van | Nurse Practitioner | 6501 S. Garfield Ave, Bell Gardens, CA 90201 | 2014-12-02 |
| 1558768358 | Behrooz Zinati Dds Inc | Dentist | 7607 Atlantic Ave., Cudahy, CA 90201 | 2014-11-24 |
| 1205230661 | Aditi Mathur | Dentist | 6320 E.florence Ave, Suite G, Bell Gardens, CA 90201 | 2014-10-14 |
| 1487075461 | Yang H Kim Dds Inc | Dentist | 4021 Florence Ave, Bell, CA 90201 | 2013-12-18 |
| 1265706261 | Patricia Walker | Health Maintenance Organization | 6533 Carmelita Ave, Bell, CA 90201 | 2012-03-08 |
| 1770805285 | Rosa Maria Castillo | Social Worker | 4800 E. Gage Avenue, Bell, CA 90201 | 2010-02-24 |
| Find all providers in zip 90201 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
| 1841661030 | Jwch Institute, Inc. | Clinic/Center | 5600 Rickenbacker Rd, Bell, CA 90201-6418 | 2015-10-13 |
| 1598364697 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-20 |
| 1861091969 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-20 |
| 1295106433 | Jwch Institute, Inc | Clinic/Center | 5600 Rickenbacker Rd, Bell, CA 90201-6418 | 2015-10-14 |
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| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
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| 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.