Providence Health System - Southern California
NPI 1689875601 · Emergency Medicine Physician · Mission Hills, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Health System - Southern California is a Emergency Medicine Physician organization in Mission Hills, CA (NPI 1689875601).
Provider details
- NPI number
- 1689875601
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health System - Southern California
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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 Holy Cross Trauma Center
- Doing business as
- Providence Holy Cross Trauma Center
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2025-05-09
- Certified
- 2025-05-09
Frequently asked questions
- What is Providence Health System - Southern California's NPI number?
- Providence Health System - Southern California's National Provider Identifier (NPI) is 1689875601, 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 Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health System - Southern California located?
- Providence Health System - Southern California's practice location on file with NPPES is 15031 Rinaldi Street, Mission Hills, CA 91345-1207.
- 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) 365-8051.
- Does Providence Health System - Southern California accept Medicare?
- Providence Health System - Southern California 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 Health System - Southern California?
- The authorized official listed on Providence Health System - Southern California's NPPES record is Donald Anderson, Assistant Secretary Enrollments. 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 (1689875601) is active in the NPPES registry as of the last update on 2025-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.