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

St Jude Hospital Yorba Linda

Organization Family Medicine Physician · NPI 1053617076

St Jude Hospital Yorba Linda is a Family Medicine Physician in Santa Rosa, California. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

4750 Hoen Ave
Santa Rosa, CA 95405-7833
Phone: (707) 542-1611
Fax: (707) 542-9958
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1053617076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bennett — Chief Operating Officer · (714) 449-4800
Other names St Joseph Heritage Healthcare
NPI enumeratedFebruary 9, 2011
Last updated in NPPESFebruary 9, 2011
Mailing address279 Imperial Hwy, Suite 730, Fullerton, CA 92835-1041

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