St. Jude Neighborhood Health Centers

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ST. JUDE NEIGHBORHOOD HEALTH CENTERS

Practice address

7758 Knott Ave
Buena Park, CA 90620-2420

Phone

(714) 522-8723

Fax

(714) 522-4182

NPI assigned

May 9, 2012

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 1

Addresses

Other names 1

• St. Jude Dental Clinic Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Jude Neighborhood Health Centers

  • Primary Care Clinic/Center
  • Adelanto, CA
  • NPI 1578198727

  Member Of

  NPD member

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1225397409",
    "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": "714-522-8723",
            "fax_number": "714-522-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202420",
            "telephone_number": "714-522-8723",
            "fax_number": "714-522-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JUDE NEIGHBORHOOD HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Jude Dental Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Jude Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southgate Rose Pharmacy Inc
• Spencer N Spalding
• Spark Physical Therapy & Sports Performance Inc
• Karin Spruill I, P.T.
• St. Jude Hospital, Inc.
• St. Luke'S Home Health Services, Inc.
• Starbright Hospice, Inc.
• Stephen W Smith Chiropractic Inc
• Stephen W. Smith Chiropractic
• Renee Flournoy Stokman, LMFT

• Dental Clinic/Center in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Dental 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.