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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 Internal Medicine organization located in SANTA ROSA, California. NPI 1740584473 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SANTA ROSA, CA

Registration Details

NPI Number
1740584473
Provider Type
Organization
NPI Issued
Jan 10, 2011 (15.606357571771 yrs)
Last Updated
Dec 3, 2025

Practice Information

Address
500 DOYLE PARK DR
SUITE 303
SANTA ROSA, CA, 954054558
Browse CA providers · Browse ZIP 95405
Phone
7073038300
Fax
7073038301
Primary Specialty
Internal Medicine
207R00000X
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.