PROVIDENCE MEDICAL FOUNDATION NPI 1205131950

NPI Information

  • NPI: 1205131950
  • Provider Name: PROVIDENCE MEDICAL FOUNDATION
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • :
  • Address: 1100 TRANCAS ST
    SUITE 209
    NAPA, CA
    ZIP 94558
  • Phone: (707) 251-1850

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NPI Details

PROVIDENCE MEDICAL FOUNDATION is an obstetrics gynecology in Napa, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PROVIDENCE MEDICAL FOUNDATION NPI is 1205131950. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1100 TRANCAS ST
SUITE 209
NAPA, CA
ZIP 94558-900
Phone: (707) 251-1850
Fax: (707) 226-1502

The provider's authorized official is Donald W. Anderson .
The authorized official title is Assistant Secretary Of Enrollments and has the following contact phone number (425) 358-9786.

The enumeration date for this NPI number is 1/11/2011 and was last updated on 12/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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