ST JUDE RADIOLOGY MEDICAL GRP, INC
NPI 1588788152
Radiology - Diagnostic Radiology in Fullerton, CA

NPI Status: Active since March 19, 2007

Contact Information

2151 N HARBOR BLVD
FULLERTON, CA
ZIP 92835
Phone: (714) 992-3978
Fax: (714) 992-3298

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  • Organization
  • Radiology
  • Diagnostic Radiology

About ST JUDE RADIOLOGY MEDICAL GRP, INC

This page provides the complete NPI Profile along with additional information for St Jude Radiology Medical Grp, Inc, a provider established in Fullerton, California operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1588788152 assigned on March 2007. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 5 years ago. St Jude Radiology Medical Grp, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Robert C Morten M.d. (President)

NPI
1588788152
Provider Name
ST JUDE RADIOLOGY MEDICAL GRP, INC
Entity Type
Organization
Location Address
2151 N HARBOR BLVD FULLERTON, CA 92835
Location Phone
(714) 992-3978
Location Fax
(714) 992-3298
Mailing Address
PO BOX 4505 WOODLAND HILLS, CA 91365
Mailing Phone
(805) 375-8800
Mailing Fax
(714) 992-3298
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License State
CA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT C MORTEN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 992-3978

Reviews for ST JUDE RADIOLOGY MEDICAL GRP, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588788152
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2516814816110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 4 + 8 + 1 + 6 + 1 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1588788152 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407843949 JAMES L BENOIT M.D.
Individual
Family Medicine2151 N HARBOR BLVD SUITE 3200
FULLERTON, CA 92835
(714) 446-5101
1063501997 ALAN BORSARI M.D.
Individual
Internal Medicine (Cardiovascular Disease)2151 N HARBOR BLVD
FULLERTON, CA 92835
(714) 449-4800
1174609358 SANJAY SHARMA M.D.
Individual
Internal Medicine (Medical Oncology)2151 N HARBOR BLVD SUITE 2200
FULLERTON, CA 92835
(714) 449-4800
1336347855DR. PHILIP MARTIN MOLINA DPT
Individual
Physical Therapist (Orthopedic)2151 N HARBOR BLVD SUITE 3100
FULLERTON, CA 92835
(714) 992-3000
1124324579ST JUDE HOSPITAL YORBA LINDA
Organization
Family Medicine2151 N HARBOR BLVD SUITE 3200
FULLERTON, CA 92835
(714) 446-5101
1700886702 WILLIAM LAWLER MD
Individual
Internal Medicine (Hematology & Oncology)2151 N HARBOR BLVD SUITE 2200
FULLERTON, CA 92835
(714) 446-5900
1295721900 BING-LO CHANG M.D.
Individual
Family Medicine2151 N HARBOR BLVD SUITE 3200
FULLERTON, CA 92835
(714) 446-5101
1558561860 ROBINA MICHELLE SMITH M.D.
Individual
Surgery (Surgical Oncology)2151 N HARBOR BLVD SUITE 3100
FULLERTON, CA 92835
(714) 446-5296
1285837229 ROY LOGARTA PANARES MD
Individual
Internal Medicine (Hematology & Oncology)2151 N HARBOR BLVD SUITE 2200
FULLERTON, CA 92835
(714) 446-5900
1871092064 NATALIE PERDOMO VALLE MSN-FNP-C, MPH
Individual
Nurse Practitioner (Family)2151 N HARBOR BLVD
FULLERTON, CA 92835
(714) 446-5364
1275619447 DAVID J PARK M.D.
Individual
Internal Medicine (Medical Oncology)2151 N HARBOR BLVD SUITE 2200
FULLERTON, CA 92835
(714) 446-5900
1013950443 YNOLDE FAUSTINA SMITH DO
Individual
Family Medicine2151 N HARBOR BLVD SUITE 3200
FULLERTON, CA 92835
(714) 446-5101
1124739537 PATRICIA MARTIN NP-C
Individual
Nurse Practitioner (Family)2151 N HARBOR BLVD
FULLERTON, CA 92835
(714) 449-6230
1194172361 ANDREA PRIBAC ANCP-BC
Individual
Nurse Practitioner (Acute Care)2151 N HARBOR BLVD
FULLERTON, CA 92835
(714) 446-5830
1861475683DR. DECHEN DOLKAR MD
Individual
Radiology (Radiation Oncology)2151 N HARBOR BLVD SUITE 1500
FULLERTON, CA 92835
(714) 446-5632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588788152, enumerated in the NPI registry as an "organization" on March 19, 2007

The provider is located at 2151 N Harbor Blvd Fullerton, Ca 92835 and the phone number is (714) 992-3978

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

This NPI record was last updated on March 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.