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

St Jude Radiology Medical Group, Inc

Organization Diagnostic Radiology Physician · NPI 1760075881

St Jude Radiology Medical Group, Inc provides Diagnostic Radiology Physician services in Fullerton, California. Registered with an NPI since 2021.

In the registry since
2021
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 92835-3809
Phone: (714) 992-3978
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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 number1760075881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Jackson — Ceo · (714) 992-3000
NPI enumeratedFebruary 19, 2021
Last updated in NPPESFebruary 19, 2021
Certification dateJanuary 29, 2021
Mailing addressPo Box 940, Newbury Park, CA 91319-0940

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