PROVIDENCE MEDICAL FOUNDATION
NPI 1740584473
Internal Medicine in Santa Rosa, CA

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

The NPI number for Providence Medical Foundation is 1740584473. It was assigned to this organization in the NPPES registry on January 10, 2011. The provider was formerly known as St Joseph Heritage Healthcare.

Q: What is Providence Medical Foundation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 10, 2011

500 DOYLE PARK DR, SUITE 303, SANTA ROSA, CA 95405(707) 303-8300(707) 303-8301 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2025, May 5, 2021, Sep 11, 2017 (3 updates tracked since 2017).

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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 1740584473), doing business as St Joseph Heritage Healthcare, is a healthcare organization registered as an internal medicine in Santa Rosa, California and active in the NPI registry since January 2011. The organization maintains a secondary practice location in Santa Rosa and lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1740584473

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE MEDICAL FOUNDATION

Location Address500 DOYLE PARK DR, SUITE 303Santa Rosa, CA 95405-4558

Mailing AddressPo Box 31001 - 1920Pasadena, CA 91110-1920 · (714) 449-4800 · Fax (714) 449-4956

Phone(707) 303-8300

Fax(707) 303-8301

Organization SubpartNo

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

Enumeration DateJanuary 10, 2011

Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1740584473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

500 DOYLE PARK DR, Santa Rosa, CA 95405

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Other Names 1

Former Legal Business NameSt Joseph Heritage Healthcare

Secondary Practice Location 1

Location 1500 Doyle Park DrSanta Rosa, CA 95405-4558 · Phone (707) 528-1050

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Medical Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,692

Medicare enrollment records show 1,692 clinicians reassign Medicare billing to Providence Medical Foundation, which bills Medicare for the services they deliver. Of these, 32 practice at this address and 175 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 61

Nurse Practitioner274

Internal Medicine234

Family Practice232

Pediatric Medicine79

Emergency Medicine73

Hospitalist64

Obstetrics/Gynecology63

Cardiovascular Disease (Cardiology)62

53 other specialties611

Nearest to this location (20)

See all 1,692

Joshua Beirne, M.D.

Gastroenterology

NPI 1841216041

500 DOYLE PARK DR SUITE G04
Santa Rosa, CA 95405

(707) 303-8360

✔ PECOS✔ Accepts MedicareSame address

Deborah Britt, M.D.

Pediatric Medicine

NPI 1316959307

500 DOYLE PARK DR SUITE 100
Santa Rosa, CA 95405

(707) 544-6090

✔ PECOSSame address

Peter Chang Sing, M.D.

Cardiac Electrophysiology

NPI 1386678902

500 DOYLE PARK DR SUITE 302
Santa Rosa, CA 95405

(707) 573-7070

✔ PECOS✔ Accepts MedicareSame address

Elizabeth Culhane, M.D.

Pediatric Medicine

NPI 1508979923

500 DOYLE PARK DR SUITE 100
Santa Rosa, CA 95405

(707) 544-6090

✔ PECOS✔ Accepts MedicareSame address

Marlon Decastro, M.D.

Internal Medicine

NPI 1780643270

500 DOYLE PARK DR STE. 303
Santa Rosa, CA 95405

(707) 303-8300

✔ PECOSSame address

James Devore, MD

Family Practice

NPI 1043273469

500 DOYLE PARK DR SUITE G04
Santa Rosa, CA 95405

(707) 303-8360

✔ PECOSSame address

Gregory Houghton, M.D.

Critical Care (Intensivists)

NPI 1649489402

500 DOYLE PARK DR SUITE G04
Santa Rosa, CA 95405

(707) 303-8360

✔ PECOS✔ Accepts MedicareSame address

Joseph Lapenna, MD

Pain Management

NPI 1154828465

500 DOYLE PARK DR STE 300
Santa Rosa, CA 95405

(707) 303-8320

✔ PECOS✔ Accepts MedicareSame address

Frances Lu, MD

Gastroenterology

NPI 1942445374

500 DOYLE PARK DR STE 205
Santa Rosa, CA 95405

(707) 303-8350

✔ PECOS✔ Accepts MedicareSame address

Pamela Maur, M.D.

Cardiovascular Disease (Cardiology)

NPI 1427343532

500 DOYLE PARK DR STE G04
Santa Rosa, CA 95405

(707) 576-7100

✔ PECOS✔ Accepts MedicareSame address

Thong Nguyen, D.O.

Cardiovascular Disease (Cardiology)

NPI 1063866572

500 DOYLE PARK DR STE G04
Santa Rosa, CA 95405

(707) 576-7100

✔ PECOS✔ Accepts MedicareSame address

Avinash Ramchandani, MD

Pain Management

NPI 1730358532

500 DOYLE PARK DR STE 300
Santa Rosa, CA 95405

(707) 303-8320

✔ PECOS✔ Accepts MedicareSame address

Gregory Sacher, MD

Obstetrics/Gynecology

NPI 1972682011

500 DOYLE PARK DR SUITE 200
Santa Rosa, CA 95405

(707) 303-1719

✔ PECOS✔ Accepts MedicareSame address

Rajveer Sangera, DO

Interventional Cardiology

NPI 1003256546

500 DOYLE PARK DR STE G04
Santa Rosa, CA 95405

(707) 576-7100

✔ PECOS✔ Accepts MedicareSame address

Austin Sue, M.D.

Hospice/Palliative Care

NPI 1487916045

500 DOYLE PARK DR STE G04
Santa Rosa, CA 95405

(707) 573-8984

✔ PECOS✔ Accepts MedicareSame address

Winnie Wang, FNP

Nurse Practitioner

NPI 1265908164

500 DOYLE PARK DR STE 103
Santa Rosa, CA 95405

(707) 576-7100

✔ PECOS✔ Accepts MedicareSame address

Daniel Greenfield, M.D.

Hematology/Oncology

NPI 1043203946

500 DOYLE PARK DR STE 100
Santa Rosa, CA 95405

(707) 544-6090

✔ PECOSSame address

Giac Consiglieri, MD

Neurology

NPI 1124208277

525 DOYLE PARK DR STE 102
Santa Rosa, CA 95405

(707) 523-1873

✔ PECOS✔ Accepts MedicareSame address

Rasha Germain, MD

Neurosurgery

NPI 1356521389

525 DOYLE PARK DR SUITE 102
Santa Rosa, CA 95405

(707) 523-1873

✔ PECOS✔ Accepts MedicareSame address

Lucas King

Orthopedic Surgery

NPI 1114216421

525 DOYLE PARK DR STE 101
Santa Rosa, CA 95405

(707) 525-6620

✔ PECOS✔ Accepts MedicareSame address

See all 1,692 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1740584473. It was assigned to this organization in the NPPES registry on January 10, 2011. The provider was formerly known as St Joseph Heritage Healthcare.

Where is Providence Medical Foundation located?

Providence Medical Foundation is located at 500 Doyle Park Dr Suite 303, Santa Rosa, CA 95405. The listed phone number is (707) 303-8300.

What is Providence Medical Foundation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Providence Medical Foundation enrolled in Medicare?

Yes. Providence Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,692 clinicians in 61 Medicare specialties reassign their Medicare billing to Providence Medical Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (274), Internal Medicine (234) and Family Practice (232). Of these, 32 practice at this address and 175 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Medical Foundation was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.