ST. JUDE NEIGHBORHOOD HEALTH CENTERS (NPI# 1184092017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184092017 |
| Entity Type | Organization |
| Organization Name | ST. JUDE NEIGHBORHOOD HEALTH CENTERS |
| Other Organization Name | VALLEY HIGH SCHOOL CLINIC |
| Practice Address |
1801 S Greenville St Santa Ana CA 92704-4005 |
| Mailing Address |
731 S Highland Ave Fullerton CA 92832-2753 |
| Practice Telephone | 7144465100 |
| Mailing Telephone | 7144465100 |
| Enumeration Date | 2015-09-09 |
| 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 |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
550000408 | CA | Ambulatory Health Care Facilities |
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
550000408 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Valley High School Clinic | Other Name - Individual/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 |
| 1689070716 | St. Jude Neighborhood Health Centers | Clinic/Center | 363 S Main St # 204, Orange, CA 92868-3833 | 2014-11-18 |
| 1861898991 | St. Jude Neighborhood Health Centers | Clinic/Center | 363 S Main St Ste 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 |
1801 S GREENVILLE ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376087353 | Jennifer Borrell | Specialist/Technologist | 1801 S Greenville St, Santa Ana, CA 92704-4005 | 2016-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150209 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave Ste 130, Santa Ana, CA 92705-3501 | 2015-12-09 |
| 1013138486 | Birthchoice Health Clinic | Clinic/Center | 415 N Sycamore St, St. 200, Santa Ana, CA 92701-4607 | 2007-05-01 |
| 1578079919 | Behavioral Health Services Inc. | Clinic/Center | 2015 W 1st St Ste L, Santa Ana, CA 92703-3516 | 2017-12-21 |
| 1295152668 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3508 | 2014-03-24 |
| 1295170546 | Birth Choice Pregnancy Centers, Inc | Clinic/Center | 1100 N Tustin Ave, #d-1, Santa Ana, CA 92705-3509 | 2013-04-30 |
| 1295039923 | Leslie Matthews Casserly | Clinic/Center | 415 N Sycamore St, Suite 200, Santa Ana, CA 92701-4607 | 2011-01-10 |
| 1134398043 | Altamed Health Services Corp | Clinic/Center | 2223 W 1st St, Santa Ana, CA 92703-3505 | 2008-02-25 |
| 1053580175 | Altamed Health Services Corp | Clinic/Center | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1891301578 | Vida Community Clinic | Clinic/Center | 1519 Woodworth St, San Fernando, CA 91340-4153 | 2020-09-18 |
| 1982210522 | Life Helping Hands Inc | Clinic/Center | 987 Haley Talbert Dr, Corona, CA 92881-8402 | 2020-09-18 |
| 1780292912 | Marin Community Clinic | Clinic/Center | 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904-2009 | 2020-07-14 |
| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1194340794 | Greenville Rancheria | Clinic/Center | 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 | 2020-06-10 |
| 1841829876 | Pacific Central Coast Health Centers | Clinic/Center | 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | 2020-04-02 |
| 1740812866 | Tauna Mcginnis | Clinic/Center | 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 | 2020-02-06 |
| 1275173403 | United Advocates for Children and Families | Clinic/Center | 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 | 2020-01-15 |
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| 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.