Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Jude Hospital Yorba Linda

Organization Allergy & Immunology Physician · NPI 1053567305

St Jude Hospital Yorba Linda is an Allergy & Immunology Physician in Fullerton, California. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
12

Practice location Address checks out

279 Imperial Hwy Ste 730
Fullerton, CA 92835-1041
Phone: (714) 449-4800
Fax: (714) 449-4956
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Plastic Surgery Physician Taxonomy 208200000X
Surgery Physician Taxonomy 208600000X
Colon & Rectal Surgery Physician Taxonomy 208C00000X
General Practice Physician Taxonomy 208D00000X
Hospitalist Physician Taxonomy 208M00000X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1053567305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bennett — Vice President · (714) 578-8586
Other names St Jude Heritage Medical Group
NPI enumeratedAugust 18, 2008
Last updated in NPPESAugust 18, 2008
Mailing addressDept La 21190, Pasadena, CA 91185-0001

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