| St. Jude Neighborhood Health Centers | |
|
1801 S Greenville St Santa Ana CA 92704-4005 | |
| (714) 446-5100 | |
| Not Available |
| Full Name | St. Jude Neighborhood Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1801 S Greenville St, Santa Ana, California |
| Authorized Official Name and Position | Timothy Jason Brown (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2088999631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Jude Neighborhood Health Centers 731 S Highland Ave Fullerton CA 92832-2753 Ph: (714) 446-5100 | St. Jude Neighborhood Health Centers 1801 S Greenville St Santa Ana CA 92704-4005 Ph: (714) 446-5100 |
| NPI Number | 1184092017 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 06/17/2020 |
| Medicare PECOS PAC ID | 4284886789 |
|---|---|
| Medicare Enrollment ID | O20160105003027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184092017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 550000408 (California) | Secondary |
| 261QC1500X | Clinic/center - Community Health | 550000408 (California) | Primary |
George Xenakis, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1227 W 17th St, Santa Ana, CA 92706 Phone: 714-881-1441 Fax: 714-881-1448 | |
Koh Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2509 W Mcfadden Ave, Suite E, Santa Ana, CA 92704 Phone: 714-835-8797 Fax: 714-835-8797 | |
Andy Ngan Tran Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2739 W Edinger Ave, Santa Ana, CA 92704 Phone: 714-957-0308 Fax: 714-957-5845 | |
M.g. Farzin, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 East First Street, Suite 230, Santa Ana, CA 92705 Phone: 714-546-5579 Fax: 714-542-2785 | |
Altamed Health Services Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W Sunflower Ave, Rooms 243-244, 252 & 254, Santa Ana, CA 92704 Phone: 714-274-0373 Fax: 323-597-2113 | |
Sergio R. Aguilar, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 N Main St Ste 120, Santa Ana, CA 92701 Phone: 714-835-4057 Fax: 714-835-4058 | |
Pinales Dds Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 S Main St, Santa Ana, CA 92707 Phone: 714-542-7272 Fax: 714-541-6399 |