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MEMORIALCARE MEDICAL GROUP - IRVINE - YALE LOOP
NPI 1215079298
Non-Pharmacy Dispensing Site in Irvine, CA

Active since February 13, 2007CLIA Certified · 2 labs
4050 BARRANCA PKWY, SUITE 200, IRVINE, CA 92604(949) 551-1090 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Memorialcare Medical Group - Irvine - Yale Loop NPPES

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

MEMORIALCARE MEDICAL GROUP - IRVINE - YALE LOOP (NPI 1215079298) is a healthcare organization registered as a non-pharmacy dispensing site in Irvine, California and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1215079298
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMEMORIALCARE MEDICAL GROUP, INC.
Location Address4050 BARRANCA PKWY, SUITE 200Irvine, CA 92604-7706
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701 · (858) 625-2990
Phone(949) 551-1090
Organization SubpartYesParent: Medvantx, Inc
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateFebruary 13, 2007
Last NPPES UpdateNovember 4, 2015
✔ NPI 1215079298 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 · G21256
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.)
4050 BARRANCA PKWY, Irvine, CA 92604
Open in Google Maps ↗

Other Names 1

Doing Business AsMemorialcare Medical Group - Irvine - Yale Loop

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0581820

Memorialcare Medical Group · Irvine, CA
Active · expires Dec 31, 2027
CLIA Number05D0581820
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorAnthony Wong
Laboratory Phone(949) 551-1090
Laboratory LocationMemorialcare Medical Group4050 Barranca Pkwy, Suite 200, Irvine, CA 92604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0904255

Memorialcare Medical Group · Irvine, CA
Active · expires Dec 13, 2027
CLIA Number05D0904255
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorDavid Paskil
Laboratory Phone(949) 552-4584
Laboratory LocationMemorialcare Medical Group14150 Culver Dr, Irvine, CA 92604
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

JON G BIORKMAN MD
Family Medicine
4050 BARRANCA PKWY, SUITE 200
IRVINE, CA 92604
Orange County (949) 551-1090
DR. JOHN H STASIEWICZ MD
Family Medicine
4050 BARRANCA PKWY, SUITE 200
IRVINE, CA 92604
Orange County (949) 551-1090
WAVE IMAGING, LLC
Clinic/Center (Radiology)
4050 BARRANCA PKWY, SUITE 160
IRVINE, CA 92604
Orange County (949) 726-9500
HOSSEIN ALIMADADIAN MD INC
Internal Medicine (Cardiovascular Disease)
4050 BARRANCA PKWY, SUITE 110
IRVINE, CA 92604
Orange County (949) 262-9600
DR. GRADY B HUCKABY JR. MD
Pediatrics (Adolescent Medicine)
4050 BARRANCA PKWY, SUITE 270
IRVINE, CA 92604
Orange County (949) 559-5601
ANTHONY WONG MD
Internal Medicine
4050 BARRANCA PKWY, SUITE 200
IRVINE, CA 92604
Orange County (949) 551-1090
BARTON THOMAS BILLECI MD
Internal Medicine (Adolescent Medicine)
4050 BARRANCA PKWY, SUITE 250
IRVINE, CA 92604
Orange County (949) 653-1173
PARS PHARMACY, INC.
Pharmacy (Community/Retail Pharmacy)
4050 BARRANCA PKWY, SUITE 150
IRVINE, CA 92604
Orange County (949) 716-2300

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 1215079298. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Memorialcare Medical Group - Irvine - Yale Loop.

Where is Memorialcare Medical Group, Inc. located?

Memorialcare Medical Group, Inc. is located at 4050 Barranca Pkwy Suite 200, Irvine, CA 92604. The listed phone number is (949) 551-1090.

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

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

Does Memorialcare Medical Group, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Memorialcare Medical Group, Inc. was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.