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St. Joseph Health Northern California, LLC

Rural Health Clinic/Center in Fortuna, CA · enumerated 2016 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194189654

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Registry record

Entity type Organization (Type 2)
Legal business name St. Joseph Health Northern California, LLC
Other name <Unavail>
Parent organization St. Joseph Health
Practice address 3302 Renner Dr, Fortuna, CA, 95540
Phone (707) 725-3318
Enumeration date Apr 11, 2016
Last updated in NPPES May 7, 2025

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Donald Anderson
Title Assistant Secretary of Enrollments
Phone (425) 358-9786

Other identifiers

Identifier Type State Issuer
1194189654 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for St. Joseph Health Northern California, LLC?
The NPI for St. Joseph Health Northern California, LLC is 1194189654, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for St. Joseph Health Northern California, LLC?
NPPES lists Donald Anderson (Assistant Secretary of Enrollments) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-07.