Providence Medical Foundation
Urology
19333 Bear Valley Rd, Suite 106, Apple Valley
California, 92308-5148
760-240-5505 760-245-5525
Providence Medical Foundation is a Urology in Apple Valley, California. It is located at 19333 Bear Valley Rd, Suite 106, Apple Valley and it's customer support contact number is 760-240-5505. The authorized person of Providence Medical Foundation is Donald W. Anderson Jr. who is Assistant Secretary Of Enrollments of this DME and his contact number is 425-358-9786.
Providence Medical Foundation is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
DME Supplier Details:
Providence Medical Foundation type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Providence Medical Foundation |
| Type: | Urology |
| Location: | 19333 Bear Valley Rd, Suite 106, Apple Valley,
California, 92308-5148 |
| Phone: | 760-240-5505 |
| Fax: | 760-245-5525 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Donald W. Anderson Jr. |
| Position: | Assistant Secretary Of Enrollments |
| Contact Number: | 425-358-9786 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1053616706 |
| NPI Enumeration Date: | 11 Jan, 2011 |
| NPI Last Update On: | 01 Dec, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Medical Foundation are as mentioned below.
| Specialization | License Number | State | Status | |
| Urology | | | Primary | |
| Radiology | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 31001 - 1920,
Pasadena, California |
| Zip: | 91110-1920 |
| Phone Number: | 714-449-4800 |
| Fax Number: | 714-449-4956 |
Patients can reach Providence Medical Foundation at
19333 Bear Valley Rd, Suite 106, Apple Valley, California or can
call on customer care at 760-240-5505.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.