PROVIDENCE MEDICAL FOUNDATION – NPI #1871607762
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PROVIDENCE MEDICAL FOUNDATION is a provider located in BREA, CA. NPPES has assigned the NPI number 1871607762 to PROVIDENCE MEDICAL FOUNDATION on August 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. According to the NPI Registry, there are 8 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Feb 03, 2026. 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 MEDICAL FOUNDATION below.

NPI Profile for
PROVIDENCE MEDICAL FOUNDATION

NPI Number
1871607762
Enumeration Date

(about 20 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 MEDICAL FOUNDATION
Other name(s)
All associated names:
Former Legal Business Name
St Joseph Heritage Healthcare
Former Legal Business Name
St Jude Hospital Yorba Linda
Primary location
955 W IMPERIAL HWY STE 110
BREA, CA 92821-3814
Phone: (714) 449-4900 Fax:
8 Other location(s):
478 S Anaheim Hills Rd
Anaheim, CA 92807-4241
Phone: (714) 282-5437
1100 Trancas St Ste 209
Napa, CA 94558-2909
Phone: (707) 251-1850
1140 W La Veta Ave Ste 430
Orange, CA 92868-4226
Phone: (714) 543-5555
1140 W La Veta Ave Ste 770
Orange, CA 92868-4229
Phone: (714) 543-5555
2501 E Chapman Ave
Orange, CA 92869-3204
Phone: (714) 628-3230
805 W La Veta Ave Ste 101
Orange, CA 92868-3928
Phone: (714) 997-9595
845 W La Veta Ave Ste 108
Orange, CA 92868-3930
Phone: (714) 693-2600
1095 Irvine Blvd
Tustin, CA 92780-3526
Phone: (714) 505-7110
Mailing address
PO BOX 31001 - 1920
PASADENA, CA 91110-1920
Phone: (714) 449-4841 Fax:
Organization Subpart
No
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Updated
Certification Date
Feb 03, 2026

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.

Identifiers

Identifiers for PROVIDENCE MEDICAL FOUNDATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
medicaidCAGR0062055
medicaidCAGR006205A
medicaidCAGR0062050
medicaidCAGR0062053
medicaidCAGR0062059
medicaidCAGR0062051
medicaidCAGR0062056
medicaidCAGR0062058
medicaidCALAB76828F
medicaidCAGR0062052
medicaidCAGR0062054
medicaidCAGR0062057
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.

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.