PROVIDENCE MEDICAL FOUNDATION
NPI 1316243769
Orthopaedic Surgery in Fullerton, CA

Q: What is Providence Medical Foundation's NPI number?

The NPI number for Providence Medical Foundation is 1316243769. It was assigned to this organization in the NPPES registry on February 2, 2011. The provider was formerly known as St Joseph Heritage Healthcare and St Jude Hospital Yorba Linda.

Q: What is Providence Medical Foundation's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since February 02, 2011

2141 N HARBOR BLVD STE 35000, FULLERTON, CA 92835(714) 626-8630(714) 626-8659 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Jun 15, 2021, Dec 5, 2018 (3 updates tracked since 2018).

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About Providence Medical Foundation NPPES

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

PROVIDENCE MEDICAL FOUNDATION (NPI 1316243769), doing business as St Joseph Heritage Healthcare, is a healthcare organization registered as an orthopaedic surgery in Fullerton, California and active in the NPI registry since February 2011. The organization maintains a secondary practice location in Fullerton and lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1316243769

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NamePROVIDENCE MEDICAL FOUNDATION

Location Address2141 N HARBOR BLVD STE 35000Fullerton, CA 92835

Mailing AddressPo Box 31001 - 1920Pasadena, CA 91110-1920

Phone(714) 626-8630

Fax(714) 626-8659

Organization SubpartNo

Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateFebruary 2, 2011

Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1316243769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

2141 N HARBOR BLVD STE 35000, Fullerton, CA 92835

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Other Names 2

Former Legal Business NameSt Joseph Heritage Healthcare

Former Legal Business NameSt Jude Hospital Yorba Linda

Secondary Practice Location 1

Location 12141 N Harbor Blvd, SUITE 35000Fullerton, CA 92835-3827 · Phone (714) 626-8630 · Fax (714) 626-8659

Other Identifiers 1

Other6852510002CA · Nsc

Other Providers at the Same Location NPPES 8

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

AUSTIN JAMES PERKINS PA-C, ATC

Physician Assistant (Surgical)