PROVIDENCE MEDICAL FOUNDATION
NPI 1871607762
Family Medicine in Brea, CA
About Providence Medical Foundation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE MEDICAL FOUNDATION (NPI 1871607762), doing business as St Joseph Heritage Healthcare, is a healthcare organization registered as a family medicine in Brea, California and active in the NPI registry since August 2006. The organization maintains 8 additional practice locations and lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 2
Secondary Practice Locations 8
Other Identifiers 12
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
1,692Medicare enrollment records show 1,692 clinicians reassign Medicare billing to Providence Medical Foundation, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 387 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 61
Nearest to this location (20)
See all 1,692Source: 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 1871607762. It was assigned to this organization in the NPPES registry on August 18, 2006. 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 955 W Imperial Hwy Ste 110, Brea, CA 92821. The listed phone number is (714) 449-4900.
What is Providence Medical Foundation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 29 practice at this address and 387 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 February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Providence Medical Foundation · NPI 1871607762
Family Medicine organization in Brea, California. Organization record, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1871607762 (Entity type: Organization)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** St Joseph Heritage Healthcare (Former Legal Business Name); St Jude Hospital Yorba Linda (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 955 W IMPERIAL HWY STE 110, Brea, CA 92821-3814
- **Phone:** (714) 449-4900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,692 clinicians in 61 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (274), Internal Medicine (234), Family Practice (232); 29 practice at this address and 387 within 10 miles; [full list](https://npiprofile.com/npi/1871607762/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2026
- **Other identifiers:** Medicaid GR0062058 (CA); Medicaid LAB76828F (CA); Medicaid GR0062050 (CA); and 9 more
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Source: [NPI Profile](https://npiprofile.com/npi/1871607762) · Data from the CMS NPPES public registry.