Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

St Jude Radiology Medical Group Inc

Organization Diagnostic Radiology Physician · NPI 1649349705

St Jude Radiology Medical Group Inc provides Diagnostic Radiology Physician services 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
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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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