PROVIDENCE MEDICAL FOUNDATION
NPI 1871607762
Family Medicine in Brea, CA

Q: 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.

Q: What is Providence Medical Foundation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 18, 2006

955 W IMPERIAL HWY STE 110, BREA, CA 92821(714) 449-4900 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Mar 17, 2025, May 13, 2021 and 4 more (7 updates tracked since 2017).

On this page

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

NPI1871607762

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE MEDICAL FOUNDATION

Location Address955 W IMPERIAL HWY STE 110Brea, CA 92821-3814

Mailing AddressPo Box 31001 - 1920Pasadena, CA 91110-1920 · (714) 449-4841

Phone(714) 449-4900

Organization SubpartNo

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

Enumeration DateAugust 18, 2006

Last NPPES UpdateFebruary 3, 20267 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1871607762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X

Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 091052001 (CA)

955 W IMPERIAL HWY STE 110, Brea, CA 92821

Open in Google Maps ↗

Other Names 2

Former Legal Business NameSt Joseph Heritage Healthcare

Former Legal Business NameSt Jude Hospital Yorba Linda

Secondary Practice Locations 8

Location 1805 W La Veta Ave Ste 101Orange, CA 92868-3928 · Phone (714) 997-9595

Location 2845 W La Veta Ave Ste 108Orange, CA 92868-3930 · Phone (714) 693-2600

Location 3478 S Anaheim Hills RdAnaheim, CA 92807-4241 · Phone (714) 282-5437

Location 41140 W La Veta Ave Ste 770Orange, CA 92868-4229 · Phone (714) 543-5555

Location 51100 Trancas St Ste 209Napa, CA 94558-2909 · Phone (707) 251-1850

Location 61140 W La Veta Ave Ste 430Orange, CA 92868-4226 · Phone (714) 543-5555

Location 72501 E Chapman AveOrange, CA 92869-3204 · Phone (714) 628-3230

Location 81095 Irvine BlvdTustin, CA 92780-3526 · Phone (714) 505-7110

Other Identifiers 12

MedicaidGR0062058CA

MedicaidLAB76828FCA

MedicaidGR0062050CA

MedicaidGR0062051CA

MedicaidGR0062053CA

MedicaidGR0062056CA

MedicaidGR0062059CA

MedicaidGR0062057CA

MedicaidGR006205ACA

MedicaidGR0062054CA

MedicaidGR0062055CA

MedicaidGR0062052CA

Leave this field empty

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.

PAULYNNE P LIANG MD

Internal Medicine