Organization · Type 2 NPI

Providence Medical Foundation

Internal Medicine Physician · Santa Rosa, CA

NPI number 1740584473 Active

Practice location

500 Doyle Park Dr, Suite 303
Santa Rosa, CA 95405-4558

Call (707) 303-8300 Map

Fax (707) 303-8301

Mailing address

PO Box 31001 - 1920
Pasadena, CA 91110-1920

Other practice locations

  • 500 Doyle Park Dr, Santa Rosa, CA 95405-4558 · (707) 528-1050
  • 500 Doyle Park Dr, Santa Rosa, CA 95405-4558 · (707) 528-1050

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1740584473

Providence Medical Foundation's National Provider Identifier is 1740584473, issued on Jan 10, 2011. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Dec 3, 2025.