Providence Facey Medical Foundation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PROVIDENCE FACEY MEDICAL FOUNDATION

Doing business as

Providence Express Care

Practice address

57 Prism
Irvine, CA 92618-3148

Phone

(818) 847-6881

NPI assigned

Jul 23, 2019

Last updated

May 13, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PROVIDENCE FACEY MEDICAL FOUNDATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Wayne Anderson Jr.

Title

Assistant Secretary of Enrollments

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other names 1

• PROVIDENCE EXPRESS CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Providence Facey Medical Foundation

  dba Facey Medical Group

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1710031588

  O20031105000822

  Same enrollment
• Providence Facey Medical Foundation

  dba Exer With Providence

  • Urgent Care Clinic/Center
  • Santa Clarita, CA
  • NPI 1922651561

  O20031105000822

  Same enrollment

Part of

Providence Facey Medical

Locations (25 of 43)

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Providence Facey Medical Foundation

  dba Facey Medical Group

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1710031588
  NPPES parent name

Practitioners 777

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafik Magdy Rezk Abdou, M.D

  • Internal Medicine Physician
  • Mission Hills, CA
  • NPI 1740594415
  NPD
• Sarah Abedi, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1518320654
  NPD
• Alaa Aboulhosn, M.D.

  • Family Medicine Physician
  • Valencia, CA
  • NPI 1790914919
  NPD
• Jacqueline Adames, FNP

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1356994321
  NPD
• Lord Listowel Addo-Yirenkyi, MD

  • Hospitalist Physician
  • Mission Hills, CA
  • NPI 1588140008
  NPD
• Shanta Adhikari, NP

  • Family Nurse Practitioner
  • Mission Hills, CA
  • NPI 1417453945
  NPD
• Babek Adili-Khams, M.D.

  • Family Medicine Physician
  • Lake Arrowhead, CA
  • NPI 1588676811
  NPD
• Allison Collen Adler, MD.

  • Internal Medicine Physician
  • Santa Clarita, CA
  • NPI 1598080376
  NPD
• Adam Joseph Aisner, RN, NP-C

  • Family Nurse Practitioner
  • West Hollywood, CA
  • NPI 1992269427
  NPD
• Shahrzad Akbary, D.O.

  • Dermatology Physician
  • Porter Ranch, CA
  • NPI 1801279948
  NPD
• Dina Al-Rabadi

  • Adult Medicine Physician
  • Santa Monica, CA
  • NPI 1386271682
  NPD
• Jamal Yosuf Alam

  • Emergency Medicine Physician
  • Torrance, CA
  • NPI 1528695970
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1891348447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 50670",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740670",
            "telephone_number": "818-837-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PRISM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183148",
            "telephone_number": "818-847-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE FACEY MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE FACEY MEDICAL FOUNDATION",
        "enumeration_date": "2019-07-23",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE EXPRESS CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lorenzo Pumilia, BCBA

• Multi-Specialty Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.