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

Providence Medical Foundation

Organization General Practice Physician · NPI 1285890624

Providence Medical Foundation is a General Practice Physician in Diamond Bar, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone: (909) 860-1144
Fax: (909) 860-8307
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1285890624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names St Joseph Heritage Healthcare; St Jude Hospital Yorba Linda
NPI enumeratedAugust 5, 2008
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing addressPo Box 31001 - 1920, Pasadena, CA 91110-1920

Other providers in Diamond Bar