Active NPI
St Jude Cardiothoracic Surgeons
- Specialist
- Fullerton, CA
National Provider Identifier
1861681355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ST JUDE CARDIOTHORACIC SURGEONS
- Practice address
- 301 W Bastanchury Rd
Suite 195
Fullerton, CA 92835-3419 - Phone
- (714) 446-8866
- Fax
- (714) 997-1187
- NPI assigned
- Oct 19, 2007
- Last updated
- Aug 6, 2020
- Organization subpart
- Yes
- Parent organization
- ORANGE COUNTY THORACIC & CARDIOVASCULAR SURGEONS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard N Gates, MD
- Title
- Chief Executive Officer
- Phone
- (714) 997-2224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
301 W Bastanchury Rd
Suite 195
Fullerton, CA 92835-3419
Mailing address
1310 W Stewart Dr
Suite 503
Orange, CA 92868-3854
Phone (714) 997-2224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FNP 36248 | Other | CA | STATE OF CA MEDICAL BOARD |
National Provider Directory
National Provider Directory- Part of
- Mullin Mic
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Orange, CA
- NPI 1447247853
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Laguna Hills, CA
- NPI 1033439005
-
- Specialist
- Orange, CA
- NPI 1568424422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596672000000",
"number": "1861681355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W STEWART DR",
"address_2": "SUITE 503",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683854",
"telephone_number": "714-997-2224",
"fax_number": "714-997-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD",
"address_2": "SUITE 195",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353419",
"telephone_number": "714-446-8866",
"fax_number": "714-997-1187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JUDE CARDIOTHORACIC SURGEONS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORANGE COUNTY THORACIC & CARDIOVASCULAR SURGEONS",
"enumeration_date": "2007-10-19",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A",
"authorized_official_last_name": "GATES",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "714-997-2224",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CA MEDICAL BOARD",
"identifier": "FNP 36248",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
- Angelina Elizabeth Spinuzzi
- Spring Home Health
- Richard Lynn Spurlock
- Pretty Joy Ssebakijje
- Whitney St Dennis-Knowles
- St Jude Emergency Medical Group Inc
- St Jude Hospital
- St Jude Hospital Inc (Providence St. Jude Medical Center)
- St Jude Hospital Inc (Providence St. Jude Medical Center)
- St Jude Hospital Yorba Linda (St Joseph Heritage Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.