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IRVINE INTERNAL MEDICAL GROUP, INC.
NPI 1124263280
Non-Pharmacy Dispensing Site in Irvine, CA

Active since December 03, 2008CLIA 05D1051888 · Waiver
4870 BARRANCA PKWY, 330, IRVINE, CA 92604(949) 653-5810 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Irvine Internal Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRVINE INTERNAL MEDICAL GROUP, INC. (NPI 1124263280) is a healthcare organization registered as a non-pharmacy dispensing site in Irvine, California and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1124263280
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameIRVINE INTERNAL MEDICAL GROUP, INC.
Location Address4870 BARRANCA PKWY, 330Irvine, CA 92604-4709
Mailing Address5810 Nancy Ridge Dr, 100San Diego, CA 92121-2834
Phone(949) 653-5810
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateDecember 3, 2008
✔ NPI 1124263280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · A54819
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
4870 BARRANCA PKWY, Irvine, CA 92604
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1051888

Irvine Internal Medical Group Inc · Irvine, CA
Active · expires Mar 5, 2028
CLIA Number05D1051888
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorEmad M. Mikhail MD
Laboratory Phone(949) 653-5810
Laboratory LocationIrvine Internal Medical Group Inc22 Odyssey Ste 140, Irvine, CA 92618
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA A. STRACHAN M.D.
Obstetrics & Gynecology (Obstetrics)
4870 BARRANCA PKWY, SUITE 200
IRVINE, CA 92604
Orange County (949) 559-4870
MATI COBB NP
Nurse Practitioner (Women's Health)
4870 BARRANCA PKWY, STE 200
IRVINE, CA 92604
Orange County (949) 559-5628
VICTORIA E SUN NP-C
Nurse Practitioner (Family)
4870 BARRANCA PKWY, SUITE 110
IRVINE, CA 92604
Orange County (949) 791-3106
EDWIN CHOW M.D
Family Medicine
4870 BARRANCA PKWY, 110
IRVINE, CA 92604
Orange County (949) 857-1248
SOHRAB BARKHORDAR MD
Pediatrics
4870 BARRANCA PKWY, STE 300
IRVINE, CA 92604
Orange County (949) 791-3102
JAMIE BETH SANDERS FNP-BC
Nurse Practitioner (Family)
4870 BARRANCA PKWY, STE 110
IRVINE, CA 92604
Orange County (949) 791-3106
CARMEN L GOLDENBERG RNP
Nurse Practitioner (Women's Health)
4870 BARRANCA PKWY, SUITE 200
IRVINE, CA 92604
Orange County (949) 559-4870
FLORY ISABEL AGUILAR-ONDERDONK M.D.
Legal Medicine
4870 BARRANCA PKWY, SUITE 220
IRVINE, CA 92604
Orange County (949) 552-4624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irvine Internal Medical Group, Inc.'s NPI number?

The NPI number for Irvine Internal Medical Group, Inc. is 1124263280. It was assigned to this organization in the NPPES registry on December 3, 2008.

Where is Irvine Internal Medical Group, Inc. located?

Irvine Internal Medical Group, Inc. is located at 4870 Barranca Pkwy 330, Irvine, CA 92604. The listed phone number is (949) 653-5810.

What is Irvine Internal Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Irvine Internal Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1051888) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Irvine Internal Medical Group, Inc. was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.