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BREA FAMILY CARE
NPI 1457601890
Non-Pharmacy Dispensing Site in Brea, CA

Active since September 13, 2012CLIA 05D0575894 · Waiver
400 W CENTRAL AVE, 106, BREA, CA 92821(714) 990-1882 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brea Family Care NPPES

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

BREA FAMILY CARE (NPI 1457601890) is a healthcare organization registered as a non-pharmacy dispensing site in Brea, California and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through October 29, 2027 and lists Kenny Heine, Vp Ops, as its authorized official.

NPPES Registry Identity

NPI1457601890
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBREA FAMILY CARE A MEDICAL CORPORATION
Location Address400 W CENTRAL AVE, 106Brea, CA 92821
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(714) 990-1882
Organization SubpartYesParent: Medvantx Inc
Authorized OfficialKenny HeineVp Ops · (858) 964-1506
Enumeration DateSeptember 13, 2012
Last NPPES UpdateOctober 23, 2012
✔ NPI 1457601890 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 · A60060
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.)
400 W CENTRAL AVE, Brea, CA 92821
Open in Google Maps ↗

Other Names 1

Doing Business AsBrea Family Care

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 05D0575894

Brea Family Care · Placentia, CA
Active · expires Oct 29, 2027
CLIA Number05D0575894
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorShirley Chung
Laboratory Phone(714) 990-1882
Laboratory LocationBrea Family Care1275 N Rose Dr #130, Placentia, CA 92870
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 6

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

FREDERIC H CORBIN M.D.
Specialist
400 W CENTRAL AVE, SUITE 101
BREA, CA 92821
Orange County (714) 671-3033
FREDERIC H. CORBIN, M.D. A PROFESSIONAL CORPORATION
Specialist
400 W CENTRAL AVE, SUITE 101
BREA, CA 92821
Orange County (714) 671-3033
BREA SURGICAL CENTER, A MEDICAL CORPORATION
Clinic/Center (Ambulatory Surgical)
400 W CENTRAL AVE, SUITE 101
BREA, CA 92821
Orange County (714) 671-3033
JAMES HUANG, DO, INC
Family Medicine
400 W CENTRAL AVE, SUITE 109
BREA, CA 92821
Orange County (714) 990-0375
MARINELLI & FELDMAN, M.D.'S
Urology
400 W CENTRAL AVE, #207
BREA, CA 92821
Orange County (714) 879-2410
DR. JONE KIM DDS
Dentist (Oral and Maxillofacial Surgery)
400 W CENTRAL AVE, SUITE 109
BREA, CA 92821
Orange County (714) 529-0043

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 Brea Family Care A Medical Corporation's NPI number?

The NPI number for Brea Family Care A Medical Corporation is 1457601890. It was assigned to this organization in the NPPES registry on September 13, 2012. The provider is doing business as Brea Family Care.

Where is Brea Family Care A Medical Corporation located?

Brea Family Care A Medical Corporation is located at 400 W Central Ave 106, Brea, CA 92821. The listed phone number is (714) 990-1882.

What is Brea Family Care A Medical Corporation's specialty?

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

Does Brea Family Care A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0575894) is associated with this NPI, valid through October 29, 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 Brea Family Care A Medical Corporation was last updated on October 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.