Providence Facey Medical Foundation
NPI 1194083824 · Ambulatory Surgical Clinic/Center · Mission Hills, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Facey Medical Foundation is a Ambulatory Surgical Clinic/Center organization in Mission Hills, CA (NPI 1194083824).
Provider details
- NPI number
- 1194083824
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Facey Medical Foundation
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
340 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 110 | $582 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 104 | $702 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 58 | $362 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 32 | $542 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 21 | $545 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Facey Endoscopy Center
- Doing business as
- Facey Endoscopy Center
Registry dates
- Enumerated
- 2012-05-01
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is Providence Facey Medical Foundation's NPI number?
- Providence Facey Medical Foundation's National Provider Identifier (NPI) is 1194083824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Facey Medical Foundation?
- Providence Facey Medical Foundation is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Facey Medical Foundation located?
- Providence Facey Medical Foundation's practice location on file with NPPES is 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116.
- What is Providence Facey Medical Foundation's phone number?
- The practice phone number listed in the NPPES registry for Providence Facey Medical Foundation is (818) 837-5776.
- Does Providence Facey Medical Foundation accept Medicare?
- Providence Facey Medical Foundation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Facey Medical Foundation?
- The authorized official listed on Providence Facey 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 Facey Medical Foundation's NPI active?
- Yes — Providence Facey Medical Foundation's NPI (1194083824) is active in the NPPES registry as of the last update on 2025-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.