NPIMap

Organization Active NPI

Providence Facey Medical Foundation

Doing business as Exer With Providence

  • Urgent Care Clinic/Center
  • Santa Clarita, CA
National Provider Identifier
1922651561
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PROVIDENCE FACEY MEDICAL FOUNDATION
Doing business as
Exer With Providence
Practice address
14550 Soledad Canyon Rd
Santa Clarita, CA 91387-2200
Phone
(818) 837-5559
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

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

14550 Soledad Canyon Rd
Santa Clarita, CA 91387-2200

Mailing address

File 50670
Los Angeles, CA 90074-0670
Phone (818) 837-5559

Other names 1

  • EXER WITH PROVIDENCE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000822 CA Part B Supplier - Clinic/Group Practice 3173436276 Receives reassigned benefits from 704 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burbank, CA; Valencia, CA; Tarzana, CA; Simi Valley, CA; Santa Clarita, CA; Porter Ranch, CA; Playa Vista, CA; Northridge, CA…

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0858945Providence Facey Medical Foundation14550 Soledad Canyon Rd, Canyon Country, CA 91387Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Facey Medical Foundatio

Locations

191 S Buena Vista St
Ste 100
Burbank, CA 91505
Phone (818) 869-7600

23803 McBean Pkwy
Ste 202
Valencia, CA 91355
Phone (661) 481-2400

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 138

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.

View all 138

NPI Registry JSON

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": "1922651561",
    "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": "818-837-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 SOLEDAD CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913872200",
            "telephone_number": "818-837-5559"
        }
    ],
    "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXER WITH PROVIDENCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.