Organization Active NPI

St Jude Medical Group Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1013547884
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 21, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.