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

Organization Internal Medicine Physician · NPI 1740584473

Providence Medical Foundation is an Internal Medicine Physician in Santa Rosa, California. Works from 3 locations. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

500 Doyle Park Dr Ste 303
Santa Rosa, CA 95405-4558
Phone: (707) 303-8300
Fax: (707) 303-8301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 Doyle Park Dr, Santa Rosa, CA 95405-4558 — (707) 528-1050
  • 500 Doyle Park Dr, Santa Rosa, CA 95405-4558 — (707) 528-1050

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1740584473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names St Joseph Heritage Healthcare
NPI enumeratedJanuary 10, 2011
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing addressPo Box 31001 - 1920, Pasadena, CA 91110-1920

Other providers in Santa Rosa