Active NPI
St Jude Medical Group Inc
- Home Health Agency
- Van Nuys, CA
National Provider Identifier
1013547884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ST JUDE MEDICAL GROUP INC
- Practice address
- 7100 Hayvenhurst Ave Ste 202a
Van Nuys, CA 91406-3844 - Phone
- (818) 960-4683
- NPI assigned
- Jan 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Semi Ojo
- Title
- Cfo
- Phone
- (818) 322-7363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
7100 Hayvenhurst Ave Ste 202a
Van Nuys, CA 91406-3844
Mailing address
7100 Hayvenhurst Ave Ste 202a
Van Nuys, CA 91406-3844
National Provider Directory
National Provider DirectoryLocations
7100 Hayvenhurst Ave
Ste 202A
Van Nuys, CA 91406
Phone (818) 960-4683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579564800000",
"number": "1013547884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 HAYVENHURST AVE STE 202A",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 HAYVENHURST AVE STE 202A",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063844",
"telephone_number": "818-960-4683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JUDE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-21",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A",
"authorized_official_last_name": "OJO",
"authorized_official_first_name": "SEMI",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "818-322-7363"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.