OrganizationActive
St. Jude Hospital, Inc.
NPI 1386869907 · Primary Care Clinic/Center · Fullerton, CA
Provider details
- NPI number
- 1386869907
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- St. Jude Hospital, Inc.
- Organization subpart
- Yes
- Authorized official
- Barry Ross, Vice President, Healthy Communities(714) 992-3164
- License
- 70906F (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
731 South Highland Avenue
Fullerton, CA 92832
Phone: (714) 446-5100
Street-level locationGet directions
Mailing address
731 South Highland Avenue
Fullerton, CA 92832
Other names (DBA / former)
- Doing business as
- St. Jude Mobile Health Clinic 1
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2008-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.