PROVIDENCE MEDICAL INSTITUTE
NPI 1356394175
Family Medicine in Torrance, CA

Active since May 19, 2006
4101 TORRANCE BLVD, TORRANCE, CA 90503(310) 793-8075(310) 793-8195 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2025, Nov 28, 2018 (2 updates tracked since 2018).

About Providence Medical Institute NPPES

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

PROVIDENCE MEDICAL INSTITUTE (NPI 1356394175), doing business as Providence Little Company Of Mary, is a healthcare organization registered as a family medicine in Torrance, California and active in the NPI registry since May 2006. The organization maintains a secondary practice location in San Pedro and lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1356394175
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE MEDICAL INSTITUTE
Location Address4101 TORRANCE BLVDTorrance, CA 90503-4607
Mailing AddressPo Box 31001-3029Pasadena, CA 91110-3029 · (310) 792-4015 · Fax (310) 792-4093
Fax(310) 793-8195
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateMay 19, 2006
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1356394175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedDermatologyTaxonomy 207N00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedHospitalistTaxonomy 208M00000X
4101 TORRANCE BLVD, Torrance, CA 90503

Other Names 1

Doing Business AsProvidence Little Company Of Mary

Secondary Practice Location 1

Location 11300 W 7th StSan Pedro, CA 90732-3505 · Phone (310) 832-3311

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.

Pediatrics (Neonatal-Perinatal Medicine)
4101 TORRANCE BLVD
TORRANCE, CA 90503
Emergency Medicine
4101 TORRANCE BLVD, EM DEPT
TORRANCE, CA 90503
Emergency Medicine
4101 TORRANCE BLVD
TORRANCE, CA 90503
Family Medicine
4101 TORRANCE BLVD
TORRANCE, CA 90503
Emergency Medicine
4101 TORRANCE BLVD
TORRANCE, CA 90503
Emergency Medicine (Emergency Medical Services)
4101 TORRANCE BLVD, EM DEPT
TORRANCE, CA 90503
Emergency Medicine
4101 TORRANCE BLVD, EM DEPT
TORRANCE, CA 90503
Anesthesiology
4101 TORRANCE BLVD
TORRANCE, CA 90503

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 Institute's NPI number?

The NPI number for Providence Medical Institute is 1356394175. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Providence Little Company of Mary.

Where is Providence Medical Institute located?

Providence Medical Institute is located at 4101 Torrance Blvd, Torrance, CA 90503. The listed phone number is (310) 793-8075.

What is Providence Medical Institute's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Medical Institute was last updated on May 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.