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

Providence Medical Foundation

Organization Orthopaedic Surgery Physician · NPI 1316243769

Providence Medical Foundation is an Orthopaedic Surgery Physician in Fullerton, California. Works from 2 locations. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

2141 N Harbor Blvd Ste 35000
Fullerton, CA 92835
Phone: (714) 626-8630
Fax: (714) 626-8659
Show map & directions

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

Additional practice locations (1)

  • 2141 N Harbor Blvd, Fullerton, CA 92835-3827 — (714) 626-8630

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1316243769
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 enumeratedFebruary 2, 2011
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing addressPo Box 31001 - 1920, Pasadena, CA 91110-1920

Other providers in Fullerton