St, Jude Heritage Medical Group
NPI 1538436274ActiveOrganization· Nurse Practitioner, Family· Fullerton, CA
Nurse Practitioner, Family in Fullerton, California, registered in NPPES in November 2011. The authorized official on file is Bob O'Neil, Vp Of Physician Services.
Overview
| NPI | 1538436274 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 23, 2011 |
| Last updated in NPPES | Nov 23, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 21377 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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