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MEMORIALCARE MEDICAL GROUP - MISSION VIEJO - CROWN VALLEY PARKWAY
NPI 1194866772
Non-Pharmacy Dispensing Site in Mission Viejo, CA

Active since February 08, 2007
26991 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691(949) 582-2002 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorialcare Medical Group - Mission Viejo - Crown Valley Parkway NPPES

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

MEMORIALCARE MEDICAL GROUP - MISSION VIEJO - CROWN VALLEY PARKWAY (NPI 1194866772) is a healthcare organization registered as a non-pharmacy dispensing site in Mission Viejo, California and active in the NPI registry since February 2007. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1194866772
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMEMORIALCARE MEDICAL GROUP, INC.
Location Address26991 CROWN VALLEY PKWYMission Viejo, CA 92691-6528
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Phone(949) 582-2002
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateFebruary 8, 2007
Last NPPES UpdateApril 3, 2013
✔ NPI 1194866772 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 · A31048
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.)
26991 CROWN VALLEY PKWY, Mission Viejo, CA 92691
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Other Names 1

Doing Business AsMemorialcare Medical Group - Mission Viejo - Crown Valley Parkway

Other Providers at the Same Location NPPES 7

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

RANDALL VINCENT RICKETTS D.O.
Family Medicine
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Orange County (949) 582-5430
BRISTOL PARK MEDICAL GROUP, INC
Family Medicine
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Orange County (949) 582-2002
DR. MICHAEL F MCCORMACK MD
Emergency Medicine
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Orange County (949) 582-2002
RONALD D RICHMOND M.D.
Family Medicine
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Orange County (949) 582-5430
MARTHA JEAN GRAY RD
Dietitian, Registered
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Orange County (949) 582-2002
STEFANIE JILL FIGHTLIN DO
Family Medicine
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Orange County (949) 582-5430
GREGORY J JOY MD
Internal Medicine
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Orange County (949) 582-5430

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 Memorialcare Medical Group, Inc.'s NPI number?

The NPI number for Memorialcare Medical Group, Inc. is 1194866772. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Memorialcare Medical Group - Mission Viejo - Crown Valley Parkway.

Where is Memorialcare Medical Group, Inc. located?

Memorialcare Medical Group, Inc. is located at 26991 Crown Valley Pkwy, Mission Viejo, CA 92691. The listed phone number is (949) 582-2002.

What is Memorialcare Medical Group, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Memorialcare Medical Group, Inc. was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.