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St Jude Hospital Yorba Linda

Family Medicine Physician in Santa Rosa, CA · enumerated 2011 · authorized official John Bennett, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053617076

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Registry record

Entity type Organization (Type 2)
Legal business name St Jude Hospital Yorba Linda
Other name <Unavail>
Practice address 4750 Hoen Ave, Santa Rosa, CA, 95405
Fax (707) 542-9958
Enumeration date Feb 9, 2011
Last updated in NPPES Feb 9, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name John Bennett
Title Chief Operating Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is St Jude Hospital Yorba Linda?
St Jude Hospital Yorba Linda is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-09.