Providence Medical Foundation
NPI 1053616706 · Urology Physician · Apple Valley, CA
Providence Medical Foundation is a Urology Physician organization in Apple Valley, CA (NPI 1053616706).
Provider details
- NPI number
- 1053616706
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- St Joseph Heritage Healthcare
- Former legal business name
- St Jude Hospital Yorba Linda
Registry dates
- Enumerated
- 2011-01-11
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Providence Medical Foundation's NPI number?
- Providence Medical Foundation's National Provider Identifier (NPI) is 1053616706, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Medical Foundation?
- Providence Medical Foundation is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Medical Foundation located?
- Providence Medical Foundation's practice location on file with NPPES is 19333 Bear Valley Rd, Apple Valley, CA 92308-5148.
- What is Providence Medical Foundation's phone number?
- The practice phone number listed in the NPPES registry for Providence Medical Foundation is (760) 240-5505.
- Who is the authorized official for Providence Medical Foundation?
- The authorized official listed on Providence Medical Foundation's NPPES record is Donald Anderson, Assistant Secretary of Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Medical Foundation's NPI active?
- Yes — Providence Medical Foundation's NPI (1053616706) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.