OrganizationActive
Providence Health System-Southern California
NPI 1356962385 · Community/Retail Pharmacy · Tarzana, CA
Providence Health System-Southern California is a Community/Retail Pharmacy organization in Tarzana, CA (NPI 1356962385).
Provider details
- NPI number
- 1356962385
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary for Enrollment(425) 525-5392
Specialties & taxonomies
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
18370 Burbank Blvd Ste 104
Tarzana, CA 91356-2804
Phone: (818) 996-3600
Fax: (818) 996-8630
Street-level locationGet directions
Mailing address
Po Box 3268
Portland, OR 97208-3268
Other names (DBA / former)
- Doing business as
- Providence Tarzana Pharmacy
Registry dates
- Enumerated
- 2020-04-30
- Last updated
- 2020-04-30
- Certified
- 2020-04-30
Frequently asked questions
- What is Providence Health System-Southern California's NPI number?
- Providence Health System-Southern California's National Provider Identifier (NPI) is 1356962385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health System-Southern California?
- Providence Health System-Southern California is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Providence Health System-Southern California located?
- Providence Health System-Southern California's practice location on file with NPPES is 18370 Burbank Blvd Ste 104, Tarzana, CA 91356-2804.
- What is Providence Health System-Southern California's phone number?
- The practice phone number listed in the NPPES registry for Providence Health System-Southern California is (818) 996-3600.
- Who is the authorized official for Providence Health System-Southern California?
- The authorized official listed on Providence Health System-Southern California's NPPES record is Donald Anderson, Assistant Secretary for Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health System-Southern California's NPI active?
- Yes — Providence Health System-Southern California's NPI (1356962385) is active in the NPPES registry as of the last update on 2020-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.