Providence Medical Foundation
NPI 1053616706 belongs to Providence Medical Foundation, an urology physician with a practice location in Apple Valley, CA. The NPI was issued on January 11, 2011, and the record was last updated in NPPES on December 1, 2025. The record lists 3 taxonomy codes.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician Primary | 208800000X | Not listed |
| Radiology Clinic/Center | 261QR0200X | Not listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Not listed |
Practice location
Suite 106
Apple Valley, CA 92308-5148
Local context
Active NPPES records list 19 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 10 of them within 10 miles.
The same primary taxonomy is listed by 1,970 in California and 19,306 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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