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

Providence Medical Foundation

Organization Surgery Physician · NPI 1477790517

Providence Medical Foundation is a Surgery Physician in Eureka, California. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

2752 Harrison Ave Ste A
Eureka, CA 95501-4738
Phone: (707) 268-0190
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1477790517
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 enumeratedJanuary 12, 2009
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing addressPo Box 31001 - 1920, Pasadena, CA 91110-1920

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