Providence Medical Institute
NPI 1417915760 · Family Medicine Physician · Torrance, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Medical Institute is a Family Medicine Physician organization in Torrance, CA (NPI 1417915760).
Provider details
- NPI number
- 1417915760
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Rheumatology Physician207RR0500X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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)
- Doing business as
- Providence Little Company of Mary Medical Institute
- Doing business as
- Providence Little Company of Mary Medical Institute
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is Providence Medical Institute's NPI number?
- Providence Medical Institute's National Provider Identifier (NPI) is 1417915760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Medical Institute?
- Providence Medical Institute is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Medical Institute located?
- Providence Medical Institute's practice location on file with NPPES is 4101 Torrance Blvd, Torrance, CA 90503-4607.
- What is Providence Medical Institute's phone number?
- The practice phone number listed in the NPPES registry for Providence Medical Institute is (310) 793-8075.
- Does Providence Medical Institute accept Medicare?
- Providence Medical Institute 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 Medical Institute?
- The authorized official listed on Providence Medical Institute'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 Institute's NPI active?
- Yes — Providence Medical Institute's NPI (1417915760) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.