ST. JUDE HOSPITAL YORBA LINDA


Address: 4 Park Plz, Suite 150, Irvine, CA 92614-8560
Phone: 9494303963

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider/Organization Names

Other Name Type Code
Wellness-Jamboree Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4 PARK PLZ
SUITE 150
City IRVINE
State CA
Zip Code 92614-8560

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City IRVINE
Zip Code 92614

Improve Information

Please comment or provide details below to improve the information on ST. JUDE HOSPITAL YORBA LINDA.

Dataset Information

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.

Trending Searches