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PROVIDENCE MEDICAL FOUNDATION
NPI 1205131950
Obstetrics & Gynecology in Napa, CA

Active since January 11, 2011CLIA Certified · 2 labs
1100 TRANCAS ST, SUITE 209, NAPA, CA 94558(707) 251-1850(707) 226-1502 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2025, May 5, 2021, Sep 11, 2017 (3 updates tracked since 2017).

About Providence Medical Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE MEDICAL FOUNDATION (NPI 1205131950), doing business as St Joseph Heritage Healthcare, is a healthcare organization registered as an obstetrics & gynecology in Napa, California and active in the NPI registry since January 2011. The organization holds 2 active CLIA laboratory certificates and lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1205131950
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePROVIDENCE MEDICAL FOUNDATION
Location Address1100 TRANCAS ST, SUITE 209Napa, CA 94558-2900
Mailing AddressPo Box 31001 - 1920Pasadena, CA 91110-1920 · (714) 449-4800 · Fax (714) 449-4956
Phone(707) 251-1850
Fax(707) 226-1502
Organization SubpartNo
Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateJanuary 11, 2011
Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1205131950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1100 TRANCAS ST, Napa, CA 94558
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Other Names 2

Former Legal Business NameSt Joseph Heritage Healthcare
Former Legal Business NameSt Jude Hospital Yorba Linda

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2313157

Providence Medical Foundation · Napa, CA
Active · expires Oct 24, 2026
CLIA Number05D2313157
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorElse Jensen
Laboratory Phone(707) 703-4863
Laboratory LocationProvidence Medical Foundation1100 Trancas St, Suite 201, Napa, CA 94558
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2011045

Providence Medical Group · Napa, CA
Active · expires Aug 9, 2026
CLIA Number05D2011045
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorSusana Gonzalez, MD
Laboratory Phone(707) 251-1850
Laboratory LocationProvidence Medical Group1100 Trancas St Ste 209, Napa, CA 94558
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH WESLEY MCCOY JR. M.D.
Orthopaedic Surgery
1100 TRANCAS ST, SUITE 211
NAPA, CA 94558
Napa County (707) 255-4113
LISA MARIE CUCINELLA
Midwife
1100 TRANCAS ST, #351
NAPA, CA 94558
Napa County (707) 257-7821
PAUKERT DIALYSIS INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1100 TRANCAS ST, SUITE #267
NAPA, CA 94558
Napa County (707) 224-6533
JOSEPH MANUEL CARRILLO M.D.
Pediatrics
1100 TRANCAS ST, SUITE 270
NAPA, CA 94558
Napa County (707) 252-1076
HARVEST PEDIATRICS, INC
Specialist
1100 TRANCAS ST, SUITE 270
NAPA, CA 94558
Napa County (707) 252-1076
JENNIFER WILSON-HEUN
Nurse Practitioner (Family)
1100 TRANCAS ST, SUITE 300
NAPA, CA 94558
Napa County (707) 257-4084
SARAH J PORKKA MD MEDICAL CORPORATION
Dermatology
1100 TRANCAS ST, SUITE 211
NAPA, CA 94558
Napa County (707) 224-4250
THE N SOLUTION LLC
Case Management
1100 TRANCAS ST, 214
NAPA, CA 94558
Napa County (707) 251-1540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Medical Foundation's NPI number?

The NPI number for Providence Medical Foundation is 1205131950. It was assigned to this organization in the NPPES registry on January 11, 2011. The provider was formerly known as St Joseph Heritage Healthcare and St Jude Hospital Yorba Linda.

Where is Providence Medical Foundation located?

Providence Medical Foundation is located at 1100 Trancas St Suite 209, Napa, CA 94558. The listed phone number is (707) 251-1850.

What is Providence Medical Foundation's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Providence Medical Foundation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Providence Medical Foundation was last updated on December 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.