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St, Jude Heritage Medical Group

Family Nurse Practitioner in Fullerton, CA · enumerated 2011 · authorized official Bob O'Neil, Vp of Physician Services.

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

National Provider Identifier

1538436274

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Registry record

Entity type Organization (Type 2)
Legal business name St, Jude Heritage Medical Group
Practice address 731 S Highland Ave, Fullerton, CA, 92832
Enumeration date Nov 23, 2011
Last updated in NPPES Nov 23, 2011

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 21377 (CA) Primary

Authorized official

Name Bob O'Neil
Title Vp of Physician Services

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 Heritage Medical Group?
St, Jude Heritage Medical Group is registered in NPPES as a Family Nurse Practitioner (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-23.