MEMORIALCARE MEDICAL FOUNDATION
NPI 1205167350
Clinic/Center in Fountain Valley, CA
About Memorialcare Medical Foundation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIALCARE MEDICAL FOUNDATION (NPI 1205167350) is a healthcare organization registered as a clinic/center in Fountain Valley, California and active in the NPI registry since January 2010. The organization lists Laurie Sicaeros, Coo/vp Physician Integration, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Memorialcare Medical Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
942Medicare enrollment records show 942 clinicians reassign Medicare billing to Memorialcare Medical Foundation, which bills Medicare for the services they deliver. Of these, 52 practice at this address and 361 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 47
Nearest to this location (20)
See all 942Fountain Vallet, CA 92708
Fountain Valley, CA 92708
Fountain Valley, CA 92708
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Memorialcare Medical Foundation's NPI number?
The NPI number for Memorialcare Medical Foundation is 1205167350. It was assigned to this organization in the NPPES registry on January 28, 2010.
Where is Memorialcare Medical Foundation located?
Memorialcare Medical Foundation is located at 17360 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (877) 696-3622.
What is Memorialcare Medical Foundation's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Memorialcare Medical Foundation enrolled in Medicare?
Yes. Memorialcare Medical Foundation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memorialcare Medical Foundation?
According to the CMS Revalidation Reassignment List (October 2026 release), 942 clinicians in 47 Medicare specialties reassign their Medicare billing to Memorialcare Medical Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (258), Internal Medicine (134) and Diagnostic Radiology (126). Of these, 52 practice at this address and 361 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Memorialcare Medical Foundation was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Memorialcare Medical Foundation · NPI 1205167350
Clinic/Center organization in Fountain Valley, California. Organization record, active in the CMS NPPES registry since January 28, 2010.
## Identity
- **NPI:** 1205167350 (Entity type: Organization)
- **Enumerated:** January 28, 2010
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** Yes (part of Memorial Health Services, Inc.)
- **Authorized official:** Laurie Sicaeros, COO/VP PHYSICIAN INTEGRATION
## Practice location
- **Address:** 17360 BROOKHURST ST, Fountain Valley, CA 92708-3720
- **Phone:** (877) 696-3622
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 942 clinicians in 47 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (258), Internal Medicine (134), Diagnostic Radiology (126); 52 practice at this address and 361 within 10 miles; [full list](https://npiprofile.com/npi/1205167350/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205167350) · Data from the CMS NPPES public registry.