ST. JUDE HOSPITAL YORBA LINDA (NPI# 1306384185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306384185 |
Entity Type | Organization |
Organization Name | ST. JUDE HOSPITAL YORBA LINDA |
Other Organization Name | WELLNESS-JAMBOREE CENTER |
Practice Address |
4 Park Plz Suite 150 Irvine CA 92614-8560 |
Practice Telephone | 9494303963 |
Practice Fax Number | 9494303964 |
Mailing Telephone | 9494303963 |
Mailing Fax Number | 9494303964 |
Enumeration Date | 2017-02-01 |
Last Update Date | 2017-02-01 |
Authorized Official Name | JOHN BENNETT (CHIEF ADMINISTRATION OFFICER) |
Authorized Official Telephone | 7144494942 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Other Name | Type Code |
---|---|
Wellness-Jamboree Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306384375 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3355 Michelson Dr, Suite 490, Irvine, CA 92612-0684 | 2017-02-09 |
1396283453 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 57 Prism, Irvine, CA 92618-3148 | 2017-02-08 |
1194263822 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3701 Michelson St, Lakewood, CA 90712-1402 | 2017-02-01 |
1427596212 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3345 Michelson Dr, Suite 350, Irvine, CA 92612-0692 | 2017-02-01 |
1932647716 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 600 Newport Center Dr, Suite 150, Newport Beach, CA 92660-6417 | 2017-02-01 |
1730627464 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 65 N 1st Ave, Suite 202c, Arcadia, CA 91006-3207 | 2017-02-01 |
1306383427 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 52 Discovery, Irvine, CA 92618-3105 | 2017-01-26 |
1245777465 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 200 W Center Street Promenade, Suite 100b, Anaheim, CA 92805-3960 | 2017-01-25 |
Street Address |
4 PARK PLZ SUITE 150 |
City | IRVINE |
State | CA |
Zip Code | 92614-8560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457605115 | Jay Westphal | Preventive Medicine | 4 Park Plz, Suite 500, Irvine, CA 92614-8560 | 2012-11-02 |
1457612236 | Steven Wayne Rosen | Preventive Medicine | 4 Park Plz, Suite 750, Irvine, CA 92614-8560 | 2012-06-07 |
1912202987 | Stephanie Messina | Physician Assistant | 4 Park Plz, Suite 150, Irvine, CA 92614-8560 | 2011-01-21 |
1619150893 | Thanh-lan Ly | Nurse Practitioner | 4 Park Plz, Suite 150, Irvine, CA 92614-8560 | 2007-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
Find all providers in zip 92614 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306384375 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3355 Michelson Dr, Suite 490, Irvine, CA 92612-0684 | 2017-02-09 |
1396283453 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 57 Prism, Irvine, CA 92618-3148 | 2017-02-08 |
1427596212 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3345 Michelson Dr, Suite 350, Irvine, CA 92612-0692 | 2017-02-01 |
1306383427 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 52 Discovery, Irvine, CA 92618-3105 | 2017-01-26 |
1003284258 | South Coast Medical Center for New Medicine, Inc. | Non-Pharmacy Dispensing Site | 6 Hughes Ste 100, Irvine, CA 92618-2060 | 2015-09-04 |
1568702835 | Irvine Professional Medical Group, Inc | Non-Pharmacy Dispensing Site | 3500 Barranca Pkwy, Suite 330, Irvine, CA 92606-8226 | 2013-02-25 |
1992057897 | Artisan Foot and Ankle Specialist, Inc | Non-Pharmacy Dispensing Site | 22 Odyssey, Irvine, CA 92618-3186 | 2012-10-03 |
1932474780 | Edward A. Balbas, PC | Non-Pharmacy Dispensing Site | 17264 Red Hill Ave, Irvine, CA 92614-5628 | 2012-03-13 |
1114299948 | Joseph Medical Group, Inc. | Non-Pharmacy Dispensing Site | 15775 Laguna Canyon Rd, Ste 210, Irvine, CA 92618-3189 | 2012-02-09 |
1336443027 | Brent E Silvers, Md Inc | Non-Pharmacy Dispensing Site | 2 Hughes, Ste 150, Irvine, CA 92618-2056 | 2011-01-10 |
Find all providers in IRVINE |
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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.