Providence Medical Foundation
NPI 1053616706ActiveOrganization· Urology· Apple Valley, CA
Urology in Apple Valley, California, registered in NPPES in January 2011. The authorized official on file is Donald W. Anderson, Assistant Secretary Of Enrollments.
Overview
| NPI | 1053616706 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2011 |
| Last updated in NPPES | Dec 1, 2025 |
| Certified by provider | Dec 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
| Clinic/Center, Radiology | 261QR0200X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Urology providers in Apple Valley
- 1700332285
- 1770344186
- 1376867333
- 1598927816
- 1609827336
- 1194772418
- 1871576124
- 1376576066