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PROVIDENCE MEDICAL FOUNDATION
NPI 1609925957
Family Medicine in Anaheim, CA

Active since January 09, 2007
200 W CENTER STREET PROMENADE STE 100, ANAHEIM, CA 92805(714) 449-4841 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, Sep 27, 2021, May 5, 2021 and 3 more (6 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 1609925957), doing business as St Joseph Heritage Healthcare, is a healthcare organization registered as a family medicine in Anaheim, California and active in the NPI registry since January 2007. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1609925957
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE MEDICAL FOUNDATION
Location Address200 W CENTER STREET PROMENADE STE 100Anaheim, CA 92805-3960
Mailing AddressPo Box 31001 - 1920Pasadena, CA 91110-1920 · (714) 449-4841
Phone(714) 449-4841
Organization SubpartNo
Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateJanuary 9, 2007
Last NPPES UpdateFebruary 3, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1609925957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
200 W CENTER STREET PROMENADE STE 100, Anaheim, CA 92805
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Other Names 2

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

Other Identifiers 3

MedicaidGR0085350CA
MedicaidGR0085353CA
MedicaidGR0085351CA

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

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

JASON ZAMORA PHARMD
Pharmacist
200 W CENTER STREET PROMENADE STE 100
ANAHEIM, CA 92805
Orange County (844) 983-0647

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 1609925957. It was assigned to this organization in the NPPES registry on January 9, 2007. 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 200 W Center Street Promenade Ste 100, Anaheim, CA 92805. The listed phone number is (714) 449-4841.

What is Providence Medical Foundation'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 Foundation was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.