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Providence Medical Foundation

Family Medicine Physician in Mission Viejo, CA · enumerated 2012 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

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

National Provider Identifier

1427305960

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Medical Foundation
Other name <Unavail>
Practice address 26522 La Alameda, Suite 120, Mission Viejo, CA, 92691
Phone (949) 364-9631
Enumeration date Aug 14, 2012
Last updated in NPPES Dec 1, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

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

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 Providence Medical Foundation?
The NPI for Providence Medical Foundation is 1427305960, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Medical Foundation?
NPPES lists Donald Anderson (Assistant Secretary of Enrollments) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-01.