ST. MARY MEDICAL CENTER
NPI 1710109186
General Acute Care Hospital in Apple Valley, CA

Q: What is St. Mary Medical Center's NPI number?

The NPI number for St. Mary Medical Center is 1710109186. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Providence St. Mary Medical Center.

Q: What is St. Mary Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since May 03, 2007

18300 US HIGHWAY 18, APPLE VALLEY, CA 92307(760) 242-2311(760) 946-8824 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2025, Dec 16, 2020 (2 updates tracked since 2020).

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About St. Mary Medical Center NPPES

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

ST. MARY MEDICAL CENTER (NPI 1710109186), doing business as Providence St. Mary Medical Center, is a healthcare organization registered as a general acute care hospital in Apple Valley, California and active in the NPI registry since May 2007. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1710109186

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameST. MARY MEDICAL CENTER

Location Address18300 US HIGHWAY 18Apple Valley, CA 92307-2206

Mailing Address18300 Us Highway 18Apple Valley, CA 92307-2206 · (760) 242-2311 · Fax (760) 946-8824

Phone(760) 242-2311

Fax(760) 946-8824

Organization SubpartYesParent: St Joseph Health System

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

Enumeration DateMay 3, 2007

Last NPPES UpdateMay 9, 20252 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1710109186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in CA · 240000207

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

18300 US HIGHWAY 18, Apple Valley, CA 92307

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Other Names 1

Doing Business AsProvidence St. Mary Medical Center

Other Identifiers 2

MedicaidZZT40300FCA

MedicaidZZT30300FCA

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.

ROBERT CRAIG ANDERSON CRNA

Nurse Anesthetist, Certified Registered

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 242-2311

MELINDA D. LABUGUEN, MD INC.

Pathology (Anatomic Pathology & Clinical Pathology)

18300 US HIGHWAY 18, PATHOLOGY DEPARTMENT
APPLE VALLEY, CA 92307

San Bernardino County (760) 946-8873

ASHWIN JAYAKUMAR DO

Student in an Organized Health Care Education/Training Program

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 242-2311

JONATHAN PORTILLO AGACNP-BC

Nurse Practitioner (Acute Care)

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 242-2311

NADIA C MIHALJCIC CRNA

Nurse Anesthetist, Certified Registered

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 946-8736

ELIZABETH ESPINOZA

Nurse Practitioner (Family)

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 242-2311

ASHLEY MARIE RUGGE PA-C

Physician Assistant

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 946-8150

LORI ASHKINE BSN

Registered Nurse

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 242-2311

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 St. Mary Medical Center's NPI number?

The NPI number for St. Mary Medical Center is 1710109186. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Providence St. Mary Medical Center.

Where is St. Mary Medical Center located?

St. Mary Medical Center is located at 18300 Us Highway 18, Apple Valley, CA 92307. The listed phone number is (760) 242-2311.

What is St. Mary Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for St. Mary Medical Center was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.