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MEMORIALCARE MEDICAL GROUP - ANAHEIM
NPI 1346382033
Non-Pharmacy Dispensing Site in Anaheim, CA

Active since February 12, 2007CLIA 05D0878189 · Microscopy
3010 W ORANGE AVE, SUITE 302, ANAHEIM, CA 92804(714) 826-1200 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorialcare Medical Group - Anaheim NPPES

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

MEMORIALCARE MEDICAL GROUP - ANAHEIM (NPI 1346382033) is a healthcare organization registered as a non-pharmacy dispensing site in Anaheim, California and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through December 31, 2027 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1346382033
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMEMORIALCARE MEDICAL GROUP, INC.
Location Address3010 W ORANGE AVE, SUITE 302Anaheim, CA 92804-3169
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Phone(714) 826-1200
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJune 18, 2013
✔ NPI 1346382033 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 · G57931
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.)
3010 W ORANGE AVE, Anaheim, CA 92804
Open in Google Maps ↗

Other Names 1

Doing Business AsMemorialcare Medical Group - Anaheim

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0878189

Memorialcare Medical Group · Anaheim, CA
Active · expires Dec 31, 2027
CLIA Number05D0878189
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. David Simon
Laboratory Phone(714) 826-1200
Laboratory LocationMemorialcare Medical Group100 S Anaheim Blvd, Ste 101, Anaheim, CA 92805
CLIA data matches this NPI record on: 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.

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.

YOUNG RAE KIM MD INC
Internal Medicine
3010 W ORANGE AVE, STE 407
ANAHEIM, CA 92804
Orange County (714) 484-3781
HWA MU LEE, M.D., INC
Internal Medicine (Pulmonary Disease)
3010 W ORANGE AVE, SUITE 103
ANAHEIM, CA 92804
Orange County (714) 821-7420
DR. AMIN R FAWWAZ MD
Obstetrics & Gynecology
3010 W ORANGE AVE, SUITE 408
ANAHEIM, CA 92804
Orange County (714) 995-1866
DR. KAMRAN HAGHIGHAT MD
Internal Medicine
3010 W ORANGE AVE, STE. 302
ANAHEIM, CA 92804
Orange County (714) 826-1200
FRED MELEK SHALOM MD
Internal Medicine (Cardiovascular Disease)
3010 W ORANGE AVE, SUITE 506
ANAHEIM, CA 92804
Orange County (714) 220-0263
DR. HWA MU LEE MD
Internal Medicine (Pulmonary Disease)
3010 W ORANGE AVE, STE 103
ANAHEIM, CA 92804
Orange County (714) 821-7420
DR. NICHOLAS YOUNGRAE KIM M.D.
Internal Medicine (Rheumatology)
3010 W ORANGE AVE, #409
ANAHEIM, CA 92804
Orange County (714) 484-3781
DR. HUAN NGUYEN PHARM.D.
Pharmacist
3010 W ORANGE AVE, SUITE 101
ANAHEIM, CA 92804
Orange County (714) 236-5777

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 1346382033. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Memorialcare Medical Group - Anaheim.

Where is Memorialcare Medical Group, Inc. located?

Memorialcare Medical Group, Inc. is located at 3010 W Orange Ave Suite 302, Anaheim, CA 92804. The listed phone number is (714) 826-1200.

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 a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0878189) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Memorialcare Medical Group, Inc. was last updated on June 18, 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.