Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Medical Foundation

Organization Surgery Physician · NPI 1477790517

Providence Medical Foundation provides Surgery Physician services in Eureka, California. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

2752 Harrison Ave Ste A
Eureka, CA 95501-4738
Phone: (707) 268-0190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1477790517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names St Joseph Heritage Healthcare; St Jude Hospital Yorba Linda
NPI enumeratedJanuary 12, 2009
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing addressPo Box 31001 - 1920, Pasadena, CA 91110-1920

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