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

Providence Health System - Southern California

Organization Emergency Medicine Physician · NPI 1689875601

Providence Health System - Southern California is an Emergency Medicine Physician in Mission Hills, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone: (818) 365-8051
Fax: (818) 898-4569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Emergency Medicine Physician Taxonomy 207P00000X (CA)

Record details

NPI number1689875601
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health System - Southern California
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Holy Cross Trauma Center; Providence Holy Cross Trauma Center
NPI enumeratedMay 29, 2007
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address15031 Rinaldi Street, Mission Hills, CA 91345-1207

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