Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Memorialcare Medical Foundation

Organization Family Medicine Physician · NPI 1205167350

Memorialcare Medical Foundation is a Family Medicine Physician in Fountain Valley, California. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
15

Practice location Address checks out

17360 Brookhurst St
Fountain Valley, CA 92708-3720
Phone: (877) 696-3622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Gastroenterology Physician Taxonomy 207RG0100X
Rheumatology Physician Taxonomy 207RR0500X
Neurological Surgery Physician Taxonomy 207T00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Occupational Medicine Physician Taxonomy 2083X0100X
Hospitalist Physician Taxonomy 208M00000X
Podiatrist Taxonomy 213E00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1205167350
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMemorial Health Services, Inc
Authorized official Laurie Sicaeros — Coo/Vp Physician Integration · (877) 696-3622
NPI enumeratedJanuary 28, 2010
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address17360 Brookhurst St, Fountain Valley, CA 92708-3720

Other providers in Fountain Valley