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

Providence Medical Foundation

Organization Family Medicine Physician · NPI 1609925957

Providence Medical Foundation is a Family Medicine Physician in Anaheim, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

200 W Center Street Promenade Ste 100
Anaheim, CA 92805-3960
Phone: (714) 449-4841
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1609925957
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 9, 2007
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing addressPo Box 31001 - 1920, Pasadena, CA 91110-1920

Other providers in Anaheim