Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Providence Health System-Southern California

Institutional Pharmacy in San Pedro, CA · enumerated 2006 · authorized official Donald Anderson, Assistant Secretary Enrollments.

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

National Provider Identifier

1508972456

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Registry record

Entity type Organization (Type 2)

Legal business name Providence Health System-Southern California

Other name <Unavail>

Practice address 1300 W 7th St, San Pedro, CA, 90732

Phone (310) 832-3311

Fax (310) 514-5462

Enumeration date Aug 22, 2006

Last updated in NPPES May 9, 2025

Taxonomy & classification

3336I0012X Institutional Pharmacy Suppliers · License HSP47226 (CA) Primary

3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Donald Anderson

Title Assistant Secretary Enrollments

Phone (425) 358-9786

Other identifiers

Identifier	Type	State	Issuer
0544519	Other	-	NCPDP PROVIDER IDENTIFICATION NUMBER
PHB472260	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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Providence Health System-Southern California?

The NPI for Providence Health System-Southern California is 1508972456, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Providence Health System-Southern California?

NPPES lists Donald Anderson (Assistant Secretary 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 2025-05-09.