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Providence Health System - Southern California

Emergency Medicine Physician in Mission Hills, CA · enumerated 2007 · authorized official Donald Anderson, Assistant Secretary Enrollments.

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

National Provider Identifier

1689875601

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health System - Southern California
Other name <Unavail>
Parent organization Providence Health System - Southern California
Practice address 15031 Rinaldi Street, Mission Hills, CA, 91345
Fax (818) 898-4569
Enumeration date May 29, 2007
Last updated in NPPES May 9, 2025

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary
207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Donald Anderson
Title Assistant Secretary Enrollments

Other identifiers

Identifier Type State Issuer
GR0101520 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 type of organization is Providence Health System - Southern California?
Providence Health System - Southern California is registered in NPPES as a Emergency Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-09.