St. Jude Neighborhood Health Centers

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

550000408 Issued in CA

Legal business name

ST. JUDE NEIGHBORHOOD HEALTH CENTERS

Practice address

1801 S Greenville St
Santa Ana, CA 92704-4005

Phone

(714) 446-5100

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Timothy Jason Brown

Title

Chief Executive Officer

Phone

(208) 899-9631

Specialties & licenses 2

Addresses

Other names 1

• Valley High School Clinic Other name

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1184092017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S HIGHLAND AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322753",
            "telephone_number": "714-446-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S GREENVILLE ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927044005",
            "telephone_number": "714-446-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JUDE NEIGHBORHOOD HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "208-899-9631"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "550000408",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "550000408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley High School Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Valley High School Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Boontarika Sripom
• Juliet Tubat Srirat, RN , BSN
• Kathryn Sroka
• St. Joseph Hospital of Orange
• St. Joseph Satellite Dialysis Centers, LLC
• St. Jude Neighborhood Health Centers
• Joseph Marie Perez St. Pierre, MD
• Stable Home Health Inc
• Kim Thien Tran Stafford, D.O.
• Ashley Staley

• Community Health Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.