PROVIDENCE MEDICAL FOUNDATION
NPI 1801443510
Internal Medicine - Hematology & Oncology in Orange, CA
NPI Status: Active since August 19, 2019
Contact Information
1010 W LA VETA AVE STE 200
ORANGE, CA
ZIP 92868
Phone: (714) 835-1800
Fax: (714) 835-1811
- Organization
- Internal Medicine
- Hematology & Oncology
- CLIA Number: 05D0579910
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-31-2025
About PROVIDENCE MEDICAL FOUNDATION
This page provides the complete NPI Profile along with additional information for Providence Medical Foundation, an internist established in Orange, California operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1801443510 assigned on August 2019. The practitioner's primary taxonomy code is 207RH0003X. 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
- NPI
- 1801443510
- Provider Legal Name
- PROVIDENCE MEDICAL FOUNDATION
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1010 W LA VETA AVE STE 200 ORANGE, CA 92868
- Location Phone
- (714) 835-1800
- Location Fax
- (714) 835-1811
- Mailing Address
- PO BOX 31001 - 1920 PASADENA, CA 91110
- Mailing Phone
- (714) 449-4800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2019
- Last Update Date
- 02-03-2026
- Code Navigator
An internist like Providence Medical Foundation is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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.
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
- 05D0579910
- Facility Type
- Physician Office
- Certificate Effective Date
- October 28, 2021
- Certificate Expiration Date
- October 31, 2025
- Laboratory Director
- MADHAVI MUMMANENI MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Providence Medical Foundation after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1801443510, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
ORANGE, CA 92868
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801443510, enumerated as an "organization" on August 19, 2019.
The provider is located at 1010 W LA VETA AVE STE 200 ORANGE, CA 92868 and the phone number is (714) 835-1800.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
