MEMORIALCARE MEDICAL FOUNDATION
NPI 1205167350
Clinic/Center in Fountain Valley, CA

Q: 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.

Q: What is Memorialcare Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 28, 2010

17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(877) 696-3622 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1205167350

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMEMORIALCARE MEDICAL FOUNDATION

Location Address17360 BROOKHURST STFountain Valley, CA 92708-3720

Mailing Address17360 Brookhurst StFountain Valley, CA 92708-3720 · (877) 696-3622

Phone(877) 696-3622

Organization SubpartYesParent: Memorial Health Services, Inc.

Authorized OfficialLaurie SicaerosCoo/vp Physician Integration · (877) 696-3622

Enumeration DateJanuary 28, 2010

Last NPPES UpdateFebruary 27, 2024

NPPES CertifiedFebruary 27, 2024

✔ NPI 1205167350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

17360 BROOKHURST ST, Fountain Valley, CA 92708

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. VINA NGUYEN M. D.

Hospitalist

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 665-1797

DR. PAUL D SYCHANGCO M.D,

Internal Medicine

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (877) 844-0012

MARYANNE ROSE IBRAHIM M.D.

Internal Medicine

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 665-4614

DR. LYDIA MICHELLE SIMON PHARM.D.

Pharmacist

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (657) 241-3248

XUANMAI NGUYEN

Dietitian, Registered

17360 BROOKHURST ST, ATTN: REGISTERED DIETITIAN DEPARTMENT
FOUNTAIN VALLEY, CA 92708

Orange County (714) 916-0881

MS. JUDY ANN PICAZO N.P.

Nurse Practitioner

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 944-1771

TANYA DANSKY M.D.

Pediatrics

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 377-2900

EDDIE LY M.D.

Internal Medicine

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 665-1797

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.

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.