Memorialcare Medical Foundation
NPI 1205167350 · Clinic/Center · Fountain Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Memorialcare Medical Foundation is a Clinic/Center organization in Fountain Valley, CA (NPI 1205167350).
Provider details
- NPI number
- 1205167350
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Memorial Health Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Laurie Sicaeros, Coo/Vp Physician Integration(877) 696-3622
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Rheumatology Physician207RR0500X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Registry dates
- Enumerated
- 2010-01-28
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Frequently asked questions
- What is Memorialcare Medical Foundation's NPI number?
- Memorialcare Medical Foundation's National Provider Identifier (NPI) is 1205167350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memorialcare Medical Foundation?
- Memorialcare Medical Foundation is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Memorialcare Medical Foundation located?
- Memorialcare Medical Foundation's practice location on file with NPPES is 17360 Brookhurst St, Fountain Valley, CA 92708-3720.
- What is Memorialcare Medical Foundation's phone number?
- The practice phone number listed in the NPPES registry for Memorialcare Medical Foundation is (877) 696-3622.
- Does Memorialcare Medical Foundation accept Medicare?
- Memorialcare 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 Memorialcare Medical Foundation?
- The authorized official listed on Memorialcare Medical Foundation's NPPES record is Laurie Sicaeros, Coo/Vp Physician Integration. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memorialcare Medical Foundation's NPI active?
- Yes — Memorialcare Medical Foundation's NPI (1205167350) is active in the NPPES registry as of the last update on 2024-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.