Organization Active NPI

St Jude Medical Center

Doing business as n/a

  • Clinic/Center
  • Bell, CA
National Provider Identifier
1073087235
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ST JUDE MEDICAL CENTER
Doing business as
n/a
Practice address
4946 E Florence Ave
Bell, CA 90201
Phone
(323) 773-0591
Fax
(323) 773-3222
NPI assigned
Jan 21, 2019
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ihsan N Shamaan, MD
Title
Director
Phone
(323) 773-0591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4946 E Florence Ave
Bell, CA 90201

Mailing address

4946 E Florence Ave
Bell, CA 90201
Phone (323) 773-0591

Other names 1

  • n/a Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073087235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 E FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-773-0591",
            "fax_number": "323-773-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 E FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-773-0591",
            "fax_number": "323-773-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHAMAAN",
        "authorized_official_first_name": "IHSAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-773-0591",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.