PROVIDENCE MEDICAL FOUNDATION
NPI 1285890624
General Practice in Diamond Bar, CA

Active since August 05, 2008
1514 VALLEY VISTA DR, DIAMOND BAR, CA 91765(909) 860-1144(909) 860-8307 Get Directions Write a Review

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

Record update history: Feb 3, 2026, 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 1285890624), doing business as St Joseph Heritage Healthcare, is a healthcare organization registered as a general practice in Diamond Bar, California and active in the NPI registry since August 2008. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1285890624
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROVIDENCE MEDICAL FOUNDATION
Location Address1514 VALLEY VISTA DRDiamond Bar, CA 91765-3929
Mailing AddressPo Box 31001 - 1920Pasadena, CA 91110-1920 · (714) 449-4800 · Fax (714) 449-4956
Fax(909) 860-8307
Organization SubpartNo
Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateAugust 5, 2008
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1285890624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1514 VALLEY VISTA DR, Diamond Bar, CA 91765

Other Names 2

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

Other Identifiers 1

OtherCG4895CA · Railroad Medicare Provider Number

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 17

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

Family Medicine
1514 VALLEY VISTA DR, ST JUDE HERITAGE MEDICAL GROUP
DIAMOND BAR, CA 91765
Physician Assistant
1514 VALLEY VISTA DR
DIAMOND BAR, CA 91765
Family Medicine
1514 VALLEY VISTA DR
DIAMOND BAR, CA 91765
Pediatrics
1514 VALLEY VISTA DR
DIAMOND BAR, CA 91765
Family Medicine
1514 VALLEY VISTA DR
DIAMOND BAR, CA 91765
Family Medicine
1514 VALLEY VISTA DR
DIAMOND BAR, CA 91765
Physician Assistant
1514 VALLEY VISTA DR
DIAMOND BAR, CA 91765
Family Medicine
1514 VALLEY VISTA DR
DIAMOND BAR, CA 91765

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 1285890624. It was assigned to this organization in the NPPES registry on August 5, 2008. 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 1514 Valley Vista Dr, Diamond Bar, CA 91765. The listed phone number is (909) 860-1144.

What is Providence Medical Foundation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Providence Medical Foundation was last updated on February 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.