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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE MEDICAL FOUNDATION

Active Organization

PROVIDENCE MEDICAL FOUNDATION is a Urology organization located in APPLE VALLEY, California. NPI 1053616706 is currently active in the NPPES registry. Verify at CMS.

Urology · APPLE VALLEY, CA

Registration Details

NPI Number
1053616706
Provider Type
Organization
NPI Issued
Jan 11, 2011 (15.619302878294 yrs)
Last Updated
Dec 1, 2025

Practice Information

Address
19333 BEAR VALLEY RD
SUITE 106
APPLE VALLEY, CA, 923085148
Browse CA providers · Browse ZIP 92308
Phone
7602405505
Fax
7602455525
Primary Specialty
Urology
208800000X
Additional Specialty
Urology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.