St Jude Hospital Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060000173 Issued in CA

Legal business name

ST JUDE HOSPITAL INC

Practice address

2767 E Imperial Hwy
Second Floor
Brea, CA 92821-6713

Phone

(714) 870-3510

Fax

(714) 870-3525

NPI assigned

Jun 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Margaret Ilagan

Title

Manager, Patient Financial Service

Phone

(714) 870-3510

Specialties & licenses 1

Addresses

Other names 1

• ST JUDE MEDICAL CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1033313259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E VALENCIA MESA DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353809",
            "telephone_number": "714-992-3000",
            "fax_number": "714-870-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 E IMPERIAL HWY",
            "address_2": "SECOND FLOOR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216713",
            "telephone_number": "714-870-3510",
            "fax_number": "714-870-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "ILAGAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MANAGER, PATIENT FINANCIAL SERVICE",
        "authorized_official_telephone_number": "714-870-3510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JUDE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spare Ministries
• Terese Spencer, LCSW
• Dawn Spicer
• Jazmin Rinan Spillan
• Grace Spirescu, B.A.
• St Jude Hospital Inc
• St Jude Hospital Yorba Linda
• St. Jude Hospital, Inc. Dba St. Jude Medical Center
• Trina Starke
• Jaclyn Staubach, LCSW

• Skilled Nursing Facility in Brea, CA
• Providers in Brea, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.