Organization · Type 2 NPI

Providence Facey Medical Foundation

Multi-Specialty Clinic/Center · Irvine, CA

NPI number 1891348447 Active

Practice location

57 Prism
Irvine, CA 92618-3148

Call (818) 847-6881 Map

Mailing address

File 50670
Los Angeles, CA 90074-0670

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

St. Jude Hospital Yorba LindaNon-Pharmacy Dispensing Site Irvine, CA NPI 1396283453

Other multi-specialty clinic/center providers in Irvine

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NPI record

NPI: 1891348447
Entity type: Organization (Type 2)
Issued: Jul 23, 2019
Last updated: May 13, 2025
Status: Active
Subpart: Yes of Providence Facey Medical Foundation

Other names

<unavail>
Providence Express Care · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary of Enrollments
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891348447

Providence Facey Medical Foundation's National Provider Identifier is 1891348447, issued on Jul 23, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Irvine, CA. The record was last updated on May 13, 2025.