ST JUDE MEDICAL CENTER – NPI #1073087235
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

ST JUDE MEDICAL CENTER is an AHC clinic located in BELL, CA. NPPES has assigned the NPI number 1073087235 to ST JUDE MEDICAL CENTER on January 21, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST JUDE MEDICAL CENTER below.

NPI Profile for
ST JUDE MEDICAL CENTER

NPI Number
1073087235
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST JUDE MEDICAL CENTER
Primary location
4946 E FLORENCE AVE
BELL, CA 90201
Phone: (323) 773-0591 Fax: (323) 773-3222
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
IHSAN SHAMAAN
DIRECTOR
Phone: (323) 773-0591
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.