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

St Jude Radiology Medical Group Inc

Organization Diagnostic Radiology Physician · NPI 1649349705

St Jude Radiology Medical Group Inc is a Diagnostic Radiology Physician in Fullerton, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone: (714) 992-3000
Fax: (714) 992-3928
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1649349705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Davison — Administrative Assistant · (714) 992-3200
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address101 E Valencia Mesa Dr, Fullerton, CA 92835-3809

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