Active NPI
Cecilia Matilda Jude, MD
- Diagnostic Radiology Physician
- Sylmar, CA
National Provider Identifier
1558474429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A065666
- Practice address
- 14445 Olive View Dr
Dept of Radiology 2D115
Sylmar, CA 91342-1437 - Phone
- (818) 364-4079
- Fax
- (818) 364-4071
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | A065666 | CA | |
| Body Imaging Physician | 2085B0100X | A065666 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | A065666 | CA | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | A65666 | CA |
Addresses
Primary practice location
14445 Olive View Dr
Dept of Radiology 2D115
Sylmar, CA 91342-1437
Mailing address
14445 Olive View Dr
Dept of Radiology, 2D115
Sylmar, CA 91342-1437
Phone (818) 364-4079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A065666 | CA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1558474429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DR",
"address_2": "DEPT OF RADIOLOGY, 2D115",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421437",
"telephone_number": "818-364-4079",
"fax_number": "818-364-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DR",
"address_2": "DEPT OF RADIOLOGY 2D115",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421437",
"telephone_number": "818-364-4079",
"fax_number": "818-364-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDE",
"first_name": "CECILIA",
"middle_name": "MATILDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "A065666",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "A065666",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A065666",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "A65666",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.