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ST JUDE HOSPITAL YORBA LINDA NPI 1497051874


NPI Information

NPI: 1497051874
Provider Name: ST JUDE HOSPITAL YORBA LINDA

Doing Business As: ST JOSEPH HERITAGE HEALTHCARE

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3304 RENNER DR
FORTUNA, CA
ZIP 95540
Phone: (707) 725-9383
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ST JUDE HOSPITAL YORBA LINDA is an orthopaedic surgery in Fortuna, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ST JUDE HOSPITAL YORBA LINDA NPI is 1497051874. The provider is registered as an organization entity type.
The provider Is Doing Business As St Joseph Heritage Healthcare.

The provider's business location address is:

3304 RENNER DR
FORTUNA, CA
ZIP 95540-102
Phone: (707) 725-9383
Fax: (707) 725-1140

The provider's authorized official is John Bennett .
The authorized official title is Chief Operating Officer and has the following contact phone number (714) 449-4800.

The enumeration date for this NPI number is 2/2/2011 and was last updated on 2/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BH969MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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