Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Parent organization
DIGNITY HEALTH MEDICAL FOUNDATION
Other names
Dignity Health Medical Group - Northridge, a service of Dignity Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH MEDICAL FOUNDATION
Authorized official
THERESA M HYLEN (CHIEF FINANCIAL OFFICER)
(916) 851-2559
Entity
Organization
Contact information
Practice address
18406 ROSCOE BLVD, NORTHRIDGE, CA 91325-4107
(818) 885-5480
Mailing address
3400 DATA DR, 1ST FLOOR, RANCHO CORDOVA, CA 95670-7956
(916) 379-2726
(916) 853-7874
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383981523
IRS
CA
Enumeration date
01/05/2016
Last updated
11/18/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up