Active NPI
St. Jude Neighborhood Health Centers
- Federally Qualified Health Center (FQHC)
- Fullerton, CA
National Provider Identifier
1992617161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ST. JUDE NEIGHBORHOOD HEALTH CENTERS
- Practice address
- 2101 N Harbor Blvd
Fullerton, CA 92835-3801 - Phone
- (714) 446-5100
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Jason Brown
- Title
- Ceo
- Phone
- (208) 899-9631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
2101 N Harbor Blvd
Fullerton, CA 92835-3801
Mailing address
731 S Highland Ave
Fullerton, CA 92832-2753
Phone (714) 446-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1992617161",
"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": "2101 N HARBOR BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353801",
"telephone_number": "714-446-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JUDE NEIGHBORHOOD HEALTH CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-899-9631",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
- St. Jude Hospital, Inc. (St. Jude Mobile Health Clinic 1)
- St. Jude Hospital, Inc. (St. Jude Neighborhood Health Center)
- St. Jude Neighborhood Health Centers
- St. Jude Neighborhood Health Centers
- St. Jude Neighborhood Health Centers (Puente A La Salud Dental Clinic)
- St. Jude Radiology Medical Group, Inc
- St. Rose Hospice&Palliative Care,Inc.
- Brianna G Staff
- Edgar Carmen Stambuk, MD
- Deionte Jamel Stancil
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.