PROVIDENCE FACEY MEDICAL FOUNDATION – NPI #1922651561
Clinic/Center

PROVIDENCE FACEY MEDICAL FOUNDATION is an AHC clinic located in SANTA CLARITA, CA. NPPES has assigned the NPI number 1922651561 to PROVIDENCE FACEY MEDICAL FOUNDATION on July 23, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on May 13, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE FACEY MEDICAL FOUNDATION below.

NPI Profile for
PROVIDENCE FACEY MEDICAL FOUNDATION

NPI Number
1922651561
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE FACEY MEDICAL FOUNDATION
Primary location
14550 SOLEDAD CANYON RD
SANTA CLARITA, CA 91387-2200
Phone: (818) 837-5559 Fax:
Mailing address
FILE 50670
LOS ANGELES, CA 90074-0670
Phone: (818) 837-5559 Fax:
Organization Subpart
Yes - PROVIDENCE FACEY MEDICAL FOUNDATION is subpart of another organization.
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Updated
Certification Date
May 13, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.