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PATHWAY MEDICAL CENTER- GARDEN GROVE
NPI 1437492121
Non-Pharmacy Dispensing Site in Garden Grove, CA

Active since April 01, 2013CLIA 05D0987124 · Waiver
12665 GARDEN GROVE BLVD, SUITE 502 A&B, GARDEN GROVE, CA 92843(714) 534-2222 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pathway Medical Center- Garden Grove NPPES

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

PATHWAY MEDICAL CENTER- GARDEN GROVE (NPI 1437492121) is a healthcare organization registered as a non-pharmacy dispensing site in Garden Grove, California and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1437492121
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePATHWAY MEDICAL GROUP INC
Location Address12665 GARDEN GROVE BLVD, SUITE 502 A&BGarden Grove, CA 92843-1901
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(714) 534-2222
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateApril 1, 2013
✔ NPI 1437492121 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 · A52666
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.)
12665 GARDEN GROVE BLVD, Garden Grove, CA 92843
Open in Google Maps ↗

Other Names 1

Doing Business AsPathway Medical Center- Garden Grove

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 05D0987124

Pathway Medical Group · Garden Grove, CA
Active · expires Sep 30, 2027
CLIA Number05D0987124
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorAsaad E. Hakim, MD
Laboratory Phone(714) 534-2222
Laboratory LocationPathway Medical Group12665 Garden Grove Boulevard, #502-B, Garden Grove, CA 92843
CLIA data matches this NPI record on: Address 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.

SANG KWAK PHYSICAL THERAPY, INC.
Physical Therapist
12665 GARDEN GROVE BLVD, SUITE 707
GARDEN GROVE, CA 92843
Orange County (714) 537-1234
SUNSHINE KIDS MEDICAL ASSOCIATES INC
Pediatrics
12665 GARDEN GROVE BLVD, #604
GARDEN GROVE, CA 92843
Orange County (714) 537-8777
ROBERT E RAMSEY D.D.S.
Dentist
12665 GARDEN GROVE BLVD, 102
GARDEN GROVE, CA 92843
Orange County (714) 537-3598
DR. HENRY A GOTTERER PHARMD
Pharmacist
12665 GARDEN GROVE BLVD, #108
GARDEN GROVE, CA 92843
Orange County (714) 530-1130
DR. ANNMARIE TRANG NGUYEN MD
Clinic/Center (Medical Specialty)
12665 GARDEN GROVE BLVD, SUITE 611
GARDEN GROVE, CA 92843
Orange County (714) 539-5225
STRONGKIDS MEDICAL GROUP, INC
Pediatrics
12665 GARDEN GROVE BLVD, SUITE 713
GARDEN GROVE, CA 92843
Orange County (714) 537-6595
SELECT MULTI SPECIALTY MEDICAL CARE
Clinical Medical Laboratory
12665 GARDEN GROVE BLVD, 203
GARDEN GROVE, CA 92843
Orange County (714) 591-5683
DR. ROBIN ANN HYBL M.D.
Pediatrics
12665 GARDEN GROVE BLVD, SUITE 300
GARDEN GROVE, CA 92843
Orange County (714) 537-8777

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 Pathway Medical Group Inc's NPI number?

The NPI number for Pathway Medical Group Inc is 1437492121. It was assigned to this organization in the NPPES registry on April 1, 2013. The provider is doing business as Pathway Medical Center- Garden Grove.

Where is Pathway Medical Group Inc located?

Pathway Medical Group Inc is located at 12665 Garden Grove Blvd Suite 502 A&b, Garden Grove, CA 92843. The listed phone number is (714) 534-2222.

What is Pathway Medical Group Inc's specialty?

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

Does Pathway Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0987124) is associated with this NPI, valid through September 30, 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 Pathway Medical Group Inc was last updated on April 1, 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.