# PROVIDENCE MEDICAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Joseph Heritage Healthcare, St Jude Hospital Yorba Linda
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205131950
- **Authorized official:** DONALD W. ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 1100 TRANCAS ST, SUITE 209, NAPA, CA 94558-2900
- **Practice address phone:** (707) 251-1850
- **Practice address fax:** (707) 226-1502
- **Mailing address:** PO BOX 31001 - 1920, PASADENA, CA 91110-1920
- **Mailing address phone:** (714) 449-4800
- **Mailing address fax:** (714) 449-4956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 12/03/2025