PROVIDENCE MEDICAL FOUNDATION
NPI 1649551086
Anesthesiology in Eureka, CA

NPI Status: Active since August 30, 2011

Contact Information

2700 DOLBEER ST
EUREKA, CA
ZIP 95501
Phone: (707) 445-8121

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  • Organization
  • Anesthesiology
  • Accepts Insurance
  • CLIA Number: 05D0921678
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-01-2025

About PROVIDENCE MEDICAL FOUNDATION

This page provides the complete NPI Profile along with additional information for Providence Medical Foundation, an anesthesiologist established in Eureka, California operating as a Anesthesiology. The healthcare provider is registered in the NPI registry with number 1649551086 assigned on August 2011. The practitioner's primary taxonomy code is 207L00000X. The provider is registered as an organization and their NPI record was last updated February 2026. Providence Medical Foundation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Donald W. Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1649551086
Provider Legal Name
PROVIDENCE MEDICAL FOUNDATION
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2700 DOLBEER ST EUREKA, CA 95501
Location Phone
(707) 445-8121
Mailing Address
PO BOX 31001 - 1920 PASADENA, CA 91110
Mailing Phone
(714) 449-4800
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2011
Last Update Date
02-06-2026
Code Navigator

An anesthesiologist like Providence Medical Foundation manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 01-01-2000 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD W. ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • PROVIDENCE MEDICAL FOUNDATION has an ownership type of Non-profit
  • The facility received it's medicare certification date on 01-01-2000
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions46
Brain disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Brain injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Hip or femur fracture64
Hip or knee replacement, amputation or other bone or joint condition32
Nervous system disorder (excluding stroke)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord disease or condition (non-traumatic)14
Spinal cord injury (traumatic)Not Available - Data not available for this reporting period.
Stroke33

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0921678
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 02, 2023
Certificate Expiration Date
December 01, 2025
Laboratory Director
RACHEL E. DONOHUE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Providence Medical Foundation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649551086, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 1 + 0 + 5 + 2 + 0 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1649551086.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
2700 DOLBEER ST, ST. JOSEPH HOSPITAL
EUREKA, CA 95501
Emergency Medicine
2700 DOLBEER ST
EUREKA, CA 95501
Emergency Medicine
2700 DOLBEER ST
EUREKA, CA 95501
Emergency Medicine
2700 DOLBEER ST
EUREKA, CA 95501
Emergency Medicine
2700 DOLBEER ST, ST JOSEPH HOSPITAL - EUREKA
EUREKA, CA 95501
Anesthesiology
2700 DOLBEER ST
EUREKA, CA 95501
Anesthesiology
2700 DOLBEER ST
EUREKA, CA 95501
Radiology (Radiation Oncology)
2700 DOLBEER ST
EUREKA, CA 95501
Radiology (Diagnostic Radiology)
2700 DOLBEER ST
EUREKA, CA 95501
Specialist
2700 DOLBEER ST
EUREKA, CA 95501
Occupational Therapist
2700 DOLBEER ST
EUREKA, CA 95501
Occupational Therapist
2700 DOLBEER ST
EUREKA, CA 95501
Occupational Therapist (Hand)
2700 DOLBEER ST
EUREKA, CA 95501
Anesthesiology
2700 DOLBEER ST
EUREKA, CA 95501
Anesthesiology
2700 DOLBEER ST
EUREKA, CA 95501
Anesthesiology
2700 DOLBEER ST, ST. JOSEPH HOSPITAL
EUREKA, CA 95501
Physical Therapy Assistant
2700 DOLBEER ST
EUREKA, CA 95501
Radiology (Diagnostic Ultrasound)
2700 DOLBEER ST
EUREKA, CA 95501
Anesthesiology
2700 DOLBEER ST
EUREKA, CA 95501
Emergency Medicine
2700 DOLBEER ST
EUREKA, CA 95501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649551086, enumerated as an "organization" on August 30, 2011.

The provider is located at 2700 DOLBEER ST EUREKA, CA 95501 and the phone number is (707) 445-8121.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.